Organization
GREGORY WILLETT MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS GREGORY WILLETT (PRESIDENT)
(310) 978-0884
Entity
Organization
Contact information
Practice address
4477 W 118TH ST, 400, HAWTHORNE, CA 90250-2255
(310) 978-0884
Mailing address
3521 LOMITA BLVD STE 103, TORRANCE, CA 90505-5041
(310) 534-9131
(310) 534-6132
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A22826
CA
Other
Enumeration date
10/16/2006
Last updated
02/22/2008
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