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Organization
WILLIAM T VICARY J D M D A MEDICAL CORPORATION
Active
Organization
WILLIAM T VICARY J D M D A MEDICAL CORPORATION
Active
Other names
FORENSIC CONSULTANT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM T VICARY M.D. (PRESIDENT)
(323) 876-9133
Entity
Organization
Contact information
Practice address
3575 CAHUENGA BLVD W, SUITE 300, LOS ANGELES, CA 90068-1366
(323) 876-9133
(323) 876-4716
Mailing address
3575 CAHUENGA BLVD W, SUITE 300, LOS ANGELES, CA 90068-1366
(323) 876-9133
(323) 876-4716
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G30952
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G30952
BLUE CROSS
CA
Enumeration date
12/07/2007
Last updated
04/09/2013
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