Organization
CARRAGHER OSTEOPATHIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M CARRAGHER III M.D. (PRESIDENT/OWNER)
(323) 874-9355
Entity
Organization
Contact information
Practice address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(323) 874-9355
(323) 874-9357
Mailing address
7235 SANTA MONICA BLVD, WEST HOLLYWOOD, CA 90046-6724
(323) 874-9355
(323) 874-9357
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A7692
CA
207R00000X
Internal Medicine Physician
20A7692
CA
208100000X
Physical Medicine & Rehabilitation Physician
20A7692
CA
208D00000X
General Practice Physician
Primary
20A7692
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20A7692
STATE LICENSE
CA
Enumeration date
10/27/2007
Last updated
01/07/2009
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