Mcwilliams, Justin P

Mcwilliams, Justin P is an sole proprietor health care provider with primary practice located at 757 Westwood Plz 2Nd Floor, Suite 2125C, Los Angeles CA 90095-8358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Mcwilliams, Justin P can be contacted via phone (310) 301-6800.

Contact Information

Primary practice address
757 Westwood Plz 2Nd Floor, Suite 2125C Los Angeles CA 90095-8358
Fax: (310) 794-9035
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A90982 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A90982 California

Profile Details

NPI number 1437292331
LBN Legal business name Mcwilliams, Justin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
Last updated Dec 17th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437292331 NPPES
California MEDICAID 00A909820

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