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Individual

MR. WILLIAM RICHARD CANALETTI III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
8700 WARNER AVE STE 140, FOUNTAIN VALLEY, CA 92708-3209
(714) 850-7300
(714) 850-7310
Mailing address
8700 WARNER AVE STE 140, FOUNTAIN VALLEY, CA 92708-3209
(714) 850-7300
(714) 850-7310

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15662
CA
363AS0400X
Surgical Physician Assistant
PA15662
CA

Other

Enumeration date
06/30/2006
Last updated
01/22/2024
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