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Organization
WILLIAM W TEMPLE, M.D.
Active
Organization
WILLIAM W TEMPLE, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM W TEMPLE MD (PRESIDENT)
(323) 737-7372
Entity
Organization
Contact information
Practice address
2231 S WESTERN AVE, LOS ANGELES, CA 90018-1302
(323) 737-7372
Mailing address
PO BOX 10076, VAN NUYS, CA 91410-0076
(805) 578-8300
(805) 578-8950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G360560
BLUE SHIELD
CA
05
—
00G360591
—
CA
Enumeration date
03/28/2006
Last updated
06/24/2008
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