William J Wickwire M D Inc a Professional Corporation
William J Wickwire M D Inc a Professional Corporation provides Dermatology Physician services in Redondo Beach, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
520 N Prospect Ave Ste 302Redondo Beach, CA 90277-3041
Phone: (310) 798-1515
Fax: (310) 798-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence G650830 (CA) |
|---|
Record details
| NPI number | 1326119165 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Neal Ammar — Ceo · (310) 798-1515 |
| Other names | Beach Cities Dematology Med Center |
| NPI enumerated | November 13, 2006 |
| Last updated in NPPES | March 24, 2022 |
| Certification date | March 24, 2022 |
| Mailing address | 520 N Prospect Ave, Ste 302, Redondo Beach, CA 90277-3041 |
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Dr. Sanusi Hambali Umar, MD
819 N Harbor Dr Ste 400, Redondo Beach, CA 90277-2006 · (310) 480-0490
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William James Wickwire, MD
520 N Prospect Ave Ste 302, Redondo Beach, CA 90277-3043 · (310) 798-1515