Individual
DR. JOSEPH ISAIAH WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20540 VIA TARARA, YORBA LINDA, CA 92887-3204
(714) 701-9560
Mailing address
20540 VIA TARARA, YORBA LINDA, CA 92887-3204
(714) 701-9560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G32748
CA
2085U0001X
Diagnostic Ultrasound Physician
G32748
CA
208D00000X
General Practice Physician
G32748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G327480
—
CA
Enumeration date
03/24/2006
Last updated
09/03/2015
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