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William T Vicary, MD
Specialist in Los Angeles, California
NPI 1396876678

William T Vicary is a Specialist based in Los Angeles, CA. William T Vicary practices in Los Angeles, CA and has the professional credentials of MD. The NPI Number for William T Vicary is 1396876678 and holds a License No. G30952 (California).

The current practice location address for William T Vicary is 3575 Cahuenga Blvd West, Los Angeles, CA and can be reached out via phone at 323-876-9133 and via fax at 323-876-4716.

Location: 3575 Cahuenga Blvd West, Los Angeles, CA, 90068-1342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396876678
Provider Name
William T Vicary
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3575 Cahuenga Blvd West, Los Angeles, CA, 90068-1342
Phone Number
323-876-9133
Fax Number
323-876-4716
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G30952 01 CA BLUE CROSS
G30952 01 AETNA
G30952 01 CA HEALTHNET
G30952 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3575 Cahuenga Blvd West
City
Los Angeles
State
California
Zip
90068-1342
Phone Number
323-876-9133
Fax Number
323-876-4716
person
Provider Business Mailing Address Details
Address
3575 Cahuenga Blvd West
City
Los Angeles
State
California
Zip
90068-1342
Phone Number
323-876-9133
Fax Number
323-876-4716
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G30952 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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