Organization
SONNY PODIATRY GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L. WILLIAMS D.P.M. (PODRITRIST)
(323) 291-3963
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR STE 505, LOS ANGELES, CA 90008-3656
(323) 291-3963
Mailing address
3756 SANTA ROSALIA DR STE 505, LOS ANGELES, CA 90008-3656
(323) 291-3963
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3405
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W14068
NHIC MEDICARE
CA
Enumeration date
10/29/2007
Last updated
02/28/2008
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