Individual
WILLIAM CORNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5585 STANFORD ST, VENTURA, CA 93003-4243
(805) 300-4803
(866) 910-5674
Mailing address
5585 STANFORD ST, VENTURA, CA 93003-4243
(805) 300-4803
(866) 910-5674
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
865640
CA
171WH0202X
Home Modifications Contractor
865640
CA
332B00000X
Durable Medical Equipment & Medical Supplies
865640
CA
332BC3200X
Customized Equipment (DME)
Primary
865640
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
865640
CALIFORNIA STATE LICENSE BOARD
CA
Enumeration date
01/29/2014
Last updated
01/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us