Individual
DR. WILLIAM H. ISACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2811 WILSHIRE BLVD STE 414, SANTA MONICA, CA 90403-4804
(310) 824-4133
(310) 201-6685
Mailing address
2811 WILSHIRE BLVD STE 414, SANTA MONICA, CA 90403-4804
(310) 824-4133
(310) 201-6685
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G24596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G245960
—
CA
01
—
90024B002
TRICARE PROV ID
CA
01
—
953490494
COMMERICAL PROV ID
CA
01
—
ZZZ 66561 Z
BLUE SHIELD OF CA DME
CA
Enumeration date
01/06/2006
Last updated
05/03/2021
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