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Willa Lilly Brinkley, DO
General Practice Physician in San Clemente, California
NPI 1275783755

Willa Lilly Brinkley is a General Practice Physician based in San Clemente, CA. Willa Lilly Brinkley practices in San Clemente, CA and has the professional credentials of DO. The NPI Number for Willa Lilly Brinkley is 1275783755 and holds a License No. 20A4676 (California).

The current practice location address for Willa Lilly Brinkley is 140 Avenida Algodon, San Clemente, CA and can be reached out via phone at 949-366-0432 and via fax at 888-508-3372.

Location: 140 Avenida Algodon, San Clemente, CA, 92672-4182
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275783755
Provider Name
Willa Lilly Brinkley
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
140 Avenida Algodon, San Clemente, CA, 92672-4182
Phone Number
949-366-0432
Fax Number
888-508-3372
Provider Enumeration Date
09/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33-0825421 01 CA NONE
institution
Provider Business Practice Location Address Details
Address
140 Avenida Algodon
City
San Clemente
State
California
Zip
92672-4182
Phone Number
949-366-0432
Fax Number
888-508-3372
person
Provider Business Mailing Address Details
Address
140 Avenida Algodon
City
San Clemente
State
California
Zip
92672-4182
Phone Number
949-366-0432
Fax Number
888-508-3372
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
20A4676 (California)
Definition
Definition to come...
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