DR. WILLIE FRANK SIBLEY JR.


Address: 4330 Monteith Dr, Los Angeles, CA 90043
Phone: 3232962689

DR. WILLIE FRANK SIBLEY JR. (NPI# 1952657736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952657736
Entity Type Individual
Full Name DR. WILLIE FRANK SIBLEY JR.
Other Name DR. WILLIAM FRANK SIBLEY JR.
Credential M.D.
Practice Address 4330 Monteith Dr
Los Angeles
CA 90043
Practice Telephone 3232962689
Practice Fax Number 3232950741
Mailing Telephone 3232962689
Mailing Fax Number 3232950741
Enumeration Date 2012-07-30
Last Update Date 2012-07-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice AFE29139 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA 00A291390 05

Office Location

Street Address 4330 MONTEITH DR
City LOS ANGELES
State CA
Zip Code 90043

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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Competitor

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City LOS ANGELES
Zip Code 90043

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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