Individual
WILLARD FRANK WORTHEN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 E HARDY ST, DEPARTMENT OF PATHOLOGY, INGLEWOOD, CA 90301-4011
(310) 680-8391
(310) 412-4501
Mailing address
555 E HARDY ST, DEPARTMENT OF PATHOLOGY, INGLEWOOD, CA 90301-4011
(310) 680-8391
(310) 412-4501
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
Primary
G27872
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
G27872
CA
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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