Individual
DR. JOANNE WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 902-2990
(818) 904-3793
Mailing address
PO BOX 662154, ARCADIA, CA 91066-2154
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G51753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G517530
CALOPTIMA
CA
05
—
00G517530
—
CA
01
—
050126CA52073
VALLEY PRES TRAILBLAZER
CA
01
—
G51753
BLUE CROSS
CA
Enumeration date
06/02/2006
Last updated
08/31/2009
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