Organization
WILLIAM J. FISHER, M.D., FACS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J FISHER (PRESIDENT)
(805) 494-3656
Entity
Organization
Contact information
Practice address
1250 LA VENTA DR STE 202, WESTLAKE VILLAGE, CA 91361-3769
(805) 494-3656
(805) 496-8480
Mailing address
1250 LA VENTA DR STE 202, WESTLAKE VILLAGE, CA 91361-3769
(805) 494-3656
(805) 496-8480
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
C33232
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00C332320
BLUE SHIELD PIN
CA
01
—
C33232
BLUE CROSS PIN
CA
Enumeration date
11/14/2006
Last updated
08/22/2020
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