Healthcare Provider Details

I. General information

NPI: 1205947686
Provider Name (Legal Business Name): CYNTHIA WILLIAMS M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23560 MADISON ST STE 103
TORRANCE CA
90505-4709
US

IV. Provider business mailing address

23560 MADISON ST STE 103
TORRANCE CA
90505-4709
US

V. Phone/Fax

Practice location:
  • Phone: 310-325-9200
  • Fax: 310-325-9201
Mailing address:
  • Phone: 310-325-9200
  • Fax: 310-325-9201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. CYNTHIA WILLIAMS
Title or Position: OWNER
Credential: M.D.
Phone: 310-325-9200