Individual
DR. MARCUS LEJON WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10666 N TORREY PINES ROAD, LA JOLLA, CA 92037-1027
(858) 554-5257
Mailing address
FILE # 54433, LOS ANGELES, CA 90074-0001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
054048
GA
207RI0011X
Interventional Cardiology Physician
Primary
A98711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854728375A
—
GA
01
—
J005
CHAMPUS
CA
Enumeration date
11/06/2006
Last updated
06/30/2009
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