Organization
ALISA L WILLIAMS, MD, FACOG, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALISA LYNN WILLIAMS M.D. (OFFICER)
(619) 299-3111
Entity
Organization
Contact information
Practice address
5555 RESERVOIR DR STE 307, SAN DIEGO, CA 92120-5134
(619) 299-3111
(619) 299-3126
Mailing address
5555 RESERVOIR DR STE 307, SAN DIEGO, CA 92120-5134
(619) 299-3111
(619) 299-3126
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G60944
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000G609440
—
CA
Enumeration date
04/11/2008
Last updated
01/02/2020
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