Individual
JUSTIN P MCWILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
757 WESTWOOD PLZ, 2ND FLOOR, SUITE 2125C, LOS ANGELES, CA 90095-8358
(310) 301-6800
(310) 794-9035
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A90982
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A90982
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A909820
—
CA
Enumeration date
02/14/2007
Last updated
12/17/2019
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