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Individual

DR. WILLIAM L MADRID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3650 SOUTH ST STE 310, LAKEWOOD, CA 90712-1519
(562) 531-1980
(562) 531-7952
Mailing address
3650 SOUTH ST, STE. #310, LAKEWOOD, CA 90712-1502
(562) 531-1980
(562) 531-7952

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A48312
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A483120
CA
Enumeration date
04/26/2006
Last updated
12/23/2019
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