Individual
FREDDIE ALVIN WILLIAMS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 WHITTIER BLVD, LA, CA 90023-3526
(323) 268-5514
(323) 296-8613
Mailing address
PO BOX 1229, SO PASADENA, CA 91031-1229
(213) 842-4354
(323) 296-8673
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A53688
CA
208VP0000X
Pain Medicine Physician
A53688
CA
208VP0014X
Interventional Pain Medicine Physician
A53688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A536880
BLUE SHIELD
CA
05
—
00A536880
—
CA
Enumeration date
06/28/2006
Last updated
03/14/2011
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