MEDICARE: MR. WILLIAM FRANK RESH MD

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	207N00000X	Dermatology Physician	C34661	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154309862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM FRANK RESH MD

Provider Business Mailing Address
First Line	:	292 AVOCADO AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-4604
Country	:	US
Telephone Number	:	619-579-5115
Fax Number	:	619-749-6174

Provider Business Practice Location Address
First Line	:	292 AVOCADO AVE
Second Line	:
City	:	EL CAJON
State	:	CA
Zip	:	92020-4604
Country	:	US
Telephone Number	:	619-579-5115
Fax Number	:	619-749-6174

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	03/17/2018

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