| Doctor Name: | WILLA LILLY BRINKLEY |
| NPI Number: | 1275783755 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | 20A4676 |
| Business Practice Address: | 140 Avenida Algodon San Clemente, CA - 926724182 |
| Business Phone Number: | 9493660432 |
| Business Fax Number: | 8885083372 |
| Mailing Address: | 140 Ave Algodon, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926724182 |
| Phone Number: | 9493660432 |
| Fax Number: | 8885083372 |
| NPI Enumeration Date: | 09/22/2008 |
| NPI Last Update Date: | 09/22/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A4676 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |