Healthcare Provider Details

I. General information

NPI: 1912099763
Provider Name (Legal Business Name): WILLIAM H METZGER MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 05/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 W LA VETA AVE SUITE 570
ORANGE CA
92868-4300
US

IV. Provider business mailing address

1010 W LA VETA AVE SUITE 570
ORANGE CA
92868-4300
US

V. Phone/Fax

Practice location:
  • Phone: 714-835-7700
  • Fax:
Mailing address:
  • Phone: 714-639-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberG21079
License Number StateCA

VIII. Authorized Official

Name: WILLIAM H METZGER
Title or Position: PRESIDENT
Credential: MD
Phone: 714-835-7700