Individual
MR. PATRICK WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD, LOS ANGELES, CA 90073-1003
(310) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
—
—
2279E0002X
Emergency Care Registered Respiratory Therapist
—
—
2279G0305X
Geriatric Care Registered Respiratory Therapist
—
—
2279G1100X
General Care Registered Respiratory Therapist
23048
CA
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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