Stevens, William Grant

Stevens, William Grant is an individual health care provider with primary practice located at 4644 Lincoln Blvd Ste 552 , Marina Del Rey CA 90292-6391. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Stevens, William Grant can be contacted via phone (310) 827-2653.

Contact Information

Primary practice address
4644 Lincoln Blvd Ste 552 Marina Del Rey CA 90292-6391
Fax: (310) 827-1493
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G45892 California

Profile Details

NPI number 1689709008
LBN Legal business name Stevens, William Grant
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Oct 20th, 2010 - about 14 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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