Organization
WILLIAM H. ISACOFF, MD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM H. ISACOFF M.D. (OWNER)
(310) 824-4133
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD STE 414, SANTA MONICA, CA 90403-4804
(310) 824-4133
(310) 201-6685
Mailing address
2811 WILSHIRE BLVD STE 414, SANTA MONICA, CA 90403-4804
(310) 824-4133
(310) 201-6685
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
G24596
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
G24596
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G245960
—
CA
01
—
1891773123
INDIV NPI
CA
01
—
90024B002
TRICARE PROV ID
CA
01
—
ZZZ 66561 Z
BLUE SHIELD OF CA DME
CA
Enumeration date
11/22/2006
Last updated
05/03/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up