Provider Demographics
NPI:1194867572
Name:SYGMUND N. WILLIAMS
Entity Type:Organization
Organization Name:SYGMUND N. WILLIAMS
Other - Org Name:CALIFORNIA HEALTH & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SYGMUND
Authorized Official - Middle Name:NOVAK
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-438-6401
Mailing Address - Street 1:433 E KEATS AVE
Mailing Address - Street 2:SUITE # 11
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-6844
Mailing Address - Country:US
Mailing Address - Phone:559-438-6401
Mailing Address - Fax:559-224-2167
Practice Address - Street 1:433 E KEATS AVE
Practice Address - Street 2:SUITE # 11
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6844
Practice Address - Country:US
Practice Address - Phone:559-438-6401
Practice Address - Fax:559-224-2167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5587930001Medicare NSC