| Laura Williams Md | |
|
25102 Jefferson Ave Suite A Murrieta CA 92562-1707 | |
| (951) 696-4009 | |
| (951) 696-8448 |
| Full Name | Laura Williams Md |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 25102 Jefferson Ave, Murrieta, California |
| Authorized Official Name and Position | Laura A Williams (OWNER) |
| Authorized Official Contact | 9516964009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Williams Md 25102 Jefferson Ave Suite A Murrieta CA 92562-1707 Ph: (951) 696-4009 | Laura Williams Md 25102 Jefferson Ave Suite A Murrieta CA 92562-1707 Ph: (951) 696-4009 |
| NPI Number | 1457442121 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457442121 | NPI | - | NPPES |
| 10977784 | Other | CA | CAQH # |
| 1861482531 | Other | CA | NPI INDIVIDUAL # |
| 00G76077 | Medicaid | CA | |
| 05D1051900 | Other | CA | CLIA ID # |
| G76077 | Other | CA | MEDICAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G76077 (California) | Primary |
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