Doctor Name: | DR. WILLIAM TIRSCH ROYAL |
NPI Number: | 1841364189 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | C21387 |
Business Practice Address: | 3756 Santa Rosalia Dr #506 La, CA - 90008 |
Business Phone Number: | 3232999383 |
Business Fax Number: | 3232924338 |
Mailing Address: | 4116 Don Luis Dr, LA |
State: | CA |
Postal Code: | 90008 |
Phone Number: | 3232940721 |
Fax Number: | 3232924338 |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C21387 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |