Individual
DR. PAUL S WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(971) 563-5315
Mailing address
707 IDAHO AVE APT 102, SANTA MONICA, CA 90403-2848
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A121277
CA
Other
Enumeration date
08/16/2013
Last updated
12/01/2021
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