Organization Name: | WILLIAM J. FISHER, M.D., FACS, INC. |
NPI Number: | 1073685400 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM J FISHER (PRESIDENT) |
Mailing Address: | 1250 La Venta Dr Ste 202 Westlake Village |
State: | CA US |
Postal Code: | 913613769 |
Phone Number: | 8054943656 |
Fax Number: | 8054968480 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | C33232 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |