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Individual

LEVI BENJAMIN WILLIAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(855) 727-2251
(855) 727-2251
Mailing address
22431 ANTONIO PKWY # B160-613, RANCHO SANTA MARGARITA, CA 92688-2804
(855) 727-2251
(855) 727-2251

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
57670
CA
363AM0700X
Medical Physician Assistant
Primary
57670
CA
363AS0400X
Surgical Physician Assistant
57670
CA

Other

Enumeration date
01/06/2019
Last updated
05/28/2025
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