MEDICARE: ALICIA ANDREA TOBIN-WILLIAMS 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	207V00000X	Obstetrics & Gynecology Physician	A92932	CA

General Provider Information

NPI Number	:	1811942204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA ANDREA TOBIN-WILLIAMS MD

Provider Business Mailing Address
First Line	:	PO BOX 45680
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94145-0680
Country	:	US
Telephone Number	:	530-672-7060
Fax Number	:	530-672-7061

Provider Business Practice Location Address
First Line	:	3501 PALMER DR
Second Line	:	SUITE 204
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-8276
Country	:	US
Telephone Number	:	530-672-7040
Fax Number	:	530-672-7061

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	01/12/2016

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