Healthcare Provider Details

I. General information

NPI: 1225230477
Provider Name (Legal Business Name): WILLIAM STOHL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 ZONAL AVE IRD 620
LOS ANGELES CA
90033
US

IV. Provider business mailing address

137 N ALTA VISTA BLVD
LOS ANGELES CA
90036-2825
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-1946
  • Fax: 323-442-2874
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberG58577
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: