Healthcare Provider Details

I. General information

NPI: 1205980448
Provider Name (Legal Business Name): WILLIAM JAY BINDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 S SPALDING DR STE 340
BEVERLY HILLS CA
90212-1841
US

IV. Provider business mailing address

120 S SPALDING DR STE 340
BEVERLY HILLS CA
90212-1841
US

V. Phone/Fax

Practice location:
  • Phone: 310-858-6749
  • Fax: 310-271-9266
Mailing address:
  • Phone: 310-858-6749
  • Fax: 310-271-9266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2082S0099X
TaxonomyPlastic Surgery Within the Head and Neck (Plastic Surgery) Physician
License NumberG027933
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: