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NPI Code Detail

MEDICARE: DR. WILLIAM E LOFTHOUSE MD

MEDICARE: DR. WILLIAM E LOFTHOUSE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianG8564CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G8564OTHERCALICENSE

General Provider Information

NPI Number : 1821197567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM E LOFTHOUSE MD
Provider Business Mailing Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4745
Fax Number :
Provider Business Practice Location Address
First Line : 2060 CAMPUS DR
Second Line :
City : YREKA
State : CA
Zip : 96097-9538
Country : US
Telephone Number : 530-841-4745
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 12/10/2014

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Directions to “ DR. WILLIAM E LOFTHOUSE MD” Practice Location

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