Healthcare Provider Details

I. General information

NPI: 1437451499
Provider Name (Legal Business Name): LEANN ARLEEN WILLIAMS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEANN ARLEEN OLSON MD

II. Dates (important events)

Enumeration Date: 11/24/2010
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CORPORATE DR STE 110
LADERA RANCH CA
92694-2107
US

IV. Provider business mailing address

600 CORPORATE DR STE 110
LADERA RANCH CA
92694-2107
US

V. Phone/Fax

Practice location:
  • Phone: 949-328-1837
  • Fax: 949-328-1838
Mailing address:
  • Phone: 949-328-1837
  • Fax: 949-328-1838

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA114783
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: