Individual provider · Type 1 NPI

Imani Williams, PA-C

Surgical Physician Assistant · Los Angeles, CA

NPI number 1851427397 Active

Practice location

12021 Wilmington Ave
Los Angeles, CA 90059-3019

Fax (310) 763-8909

Mailing address

4381 Maury Ave
Long Beach, CA 90807-2536

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA11638 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1851427397

Imani Williams, PA-C's National Provider Identifier is 1851427397, issued on Feb 27, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.