Healthcare Provider Details

I. General information

NPI: 1093929630
Provider Name (Legal Business Name): TROY CHRISTOPHER WILLIAMS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32144 AGOURA RD SUITE 207
WESTLAKE VILLAGE CA
91361-4031
US

IV. Provider business mailing address

32144 AGOURA RD SUITE 207
WESTLAKE VILLAGE CA
91361-4031
US

V. Phone/Fax

Practice location:
  • Phone: 818-597-9300
  • Fax: 818-597-9328
Mailing address:
  • Phone: 818-597-9300
  • Fax: 818-597-9328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VH0002X
TaxonomyHospice and Palliative Medicine (Obstetrics & Gynecology) Physician
License Number4301080639
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA103922
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: