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NPI Code Detail

MEDICARE: ERIC WILLIAMSON MD

MEDICARE:   ERIC  WILLIAMSON  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
12084N0400XNeurology PhysicianMD450965PA
22084N0400XNeurology PhysicianA118441CA

General Provider Information

NPI Number : 1861719742
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC WILLIAMSON MD
Provider Business Mailing Address
First Line : 5767 W CENTURY BLVD STE 400
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-5631
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 300 MEDICAL PLAZA # B200
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-5127
Country : US
Telephone Number : 310-794-1195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2010
Last Update Date : 08/03/2018

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Directions to “ ERIC WILLIAMSON MD” Practice Location

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