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Individual

WILLIAM PROVOSTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
PO BOX 86125, LOS ANGELES, CA 90086-0125
(323) 409-4942
Mailing address
PO BOX 86125, LOS ANGELES, CA 90086-0125

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
Primary
A200462
CA

Other

Enumeration date
02/26/2020
Last updated
11/10/2025
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