MEDICARE: WILLIAM T VICARY J D M D A MEDICAL CORPORATION

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	2084P0800X	Psychiatry Physician	G30952	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	G30952	OTHER	CA	BLUE CROSS
2	G30952	OTHER	CA	BLUE SHIELD
3	G30952	OTHER	CA	AETNA
4	G30952	OTHER	CA	HEALTHNET
5	G30952	OTHER	CA	CIGNA
6	G30952	OTHER	CA	UNITED HEALTHCARE

General Provider Information

NPI Number	:	1841473287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAM T VICARY J D M D A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	3575 CAHUENGA BLVD W
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1366
Country	:	US
Telephone Number	:	323-876-9133
Fax Number	:	323-876-4716

Provider Business Practice Location Address
First Line	:	3575 CAHUENGA BLVD W
Second Line	:	SUITE 300
City	:	LOS ANGELES
State	:	CA
Zip	:	90068-1366
Country	:	US
Telephone Number	:	323-876-9133
Fax Number	:	323-876-4716

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM T VICARY
Credential	:	M.D.
Telephone Number	:	323-876-9133

Provider Enumeration Date	:	12/07/2007
Last Update Date	:	04/09/2013

Similar Medicare Providers

1013521194 — WEST COAST VALLEY HOME HEALTH INC.
Practice Location Address:

3575 CAHUENGA BLVD W STE 670
LOS ANGELES, CA
90068-1366

Practice Phone: 213-474-3010
Practice Fax:

1811667942 — TERRENCE KAVA
Practice Location Address:

3575 CAHUENGA BLVD W
LOS ANGELES, CA
90068-1366

Practice Phone: 310-499-8222
Practice Fax:

1245969203 — 17TH DISTRICT INC.
Practice Location Address:

3575 CAHUENGA BLVD W
LOS ANGELES, CA
90068-1366

Practice Phone: 323-517-3178
Practice Fax:

1962810226 — MIGUEL A MARTINEZ
Practice Location Address:

4151 VERDANT ST
LOS ANGELES, CA
90039-1366

Practice Phone: 323-636-8389
Practice Fax:

1164831368 — DAVID ANTONIO IRIAS RN
Practice Location Address:

1366 W 38TH ST
LOS ANGELES, CA
90062-1236

Practice Phone: 323-286-8723
Practice Fax:

1407818875 — MR. AIKANE L BELEZ MSED, ATC, CEAS
Practice Location Address:

3889 FREDONIA DR
LOS ANGELES, CA
90068-1211

Practice Phone: 312-550-6025
Practice Fax:

Directions to “WILLIAM T VICARY J D M D A MEDICAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.