Individual
WILLIAM ENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 HOAG DR., NEWPORT BEACH, CA 92663
(949) 574-4694
(949) 574-4680
Mailing address
PO BOX 3589, NEWPORT BEACH, CA 92659-8589
(949) 574-4694
(949) 574-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A84832
CA
208M00000X
Hospitalist Physician
Primary
A84832
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376587709
—
CA
Enumeration date
06/15/2006
Last updated
05/30/2017
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