MEDICARE: WILLIAMS CHIROPRACTIC CLINICS, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1043950850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMS CHIROPRACTIC CLINICS, P.C.

Provider Business Mailing Address
First Line	:	9676 CAMPO RD STE B
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-1251
Country	:	US
Telephone Number	:	619-465-9700
Fax Number	:	619-465-4712

Provider Business Practice Location Address
First Line	:	9676 CAMPO RD STE B
Second Line	:
City	:	SPRING VALLEY
State	:	CA
Zip	:	91977-1251
Country	:	US
Telephone Number	:	619-465-9700
Fax Number	:	619-465-4712

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TIMOTHY JOSEPH WILLIAMS
Credential	:	DC
Telephone Number	:	619-465-9700

Provider Enumeration Date	:	03/30/2022
Last Update Date	:	03/30/2022

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