Provider Demographics
NPI:1114135944
Name:WILLIAM DENNIS PAGLIANO, DPM INC.
Entity Type:Organization
Organization Name:WILLIAM DENNIS PAGLIANO, DPM INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:PAGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:213-481-1888
Mailing Address - Street 1:25775 MCBEAN PKWY
Mailing Address - Street 2:209
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3708
Mailing Address - Country:US
Mailing Address - Phone:661-255-6258
Mailing Address - Fax:661-255-5142
Practice Address - Street 1:25775 MCBEAN PKWY
Practice Address - Street 2:209
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3708
Practice Address - Country:US
Practice Address - Phone:661-255-6258
Practice Address - Fax:661-255-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE1517A213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E15170Medicaid
CAT19115Medicare UPIN
CA000E15170Medicaid