William E Hitselberger M D Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C25264 Issued in CA

Legal business name

WILLIAM E HITSELBERGER M D INC

Practice address

2222 Ocean View Ave
Suite 119
Los Angeles, CA 90057-2757

Phone

(213) 387-5651

Fax

(213) 387-0019

NPI assigned

Mar 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. William E Hitselberger, MD

Title

President

Phone

(213) 387-5651

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1689816225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 OCEAN VIEW AVE",
            "address_2": "SUITE 119",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572757",
            "telephone_number": "213-387-5651",
            "fax_number": "213-387-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 OCEAN VIEW AVE",
            "address_2": "SUITE 119",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572757",
            "telephone_number": "213-387-5651",
            "fax_number": "213-387-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM E HITSELBERGER M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "HITSELBERGER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-387-5651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C25264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000C25264",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033204961",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.