Provider Demographics
NPI:1366455842
Name:LANG, WILLIAM G (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:G
Last Name:LANG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4644 LINCOLN BLVD.
Mailing Address - Street 2:SUITE 111
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6374
Mailing Address - Country:US
Mailing Address - Phone:310-536-8200
Mailing Address - Fax:310-536-8240
Practice Address - Street 1:4644 LINCOLN BLVD
Practice Address - Street 2:SUITE 111
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6374
Practice Address - Country:US
Practice Address - Phone:310-536-8200
Practice Address - Fax:310-536-8240
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2013-10-03
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Provider Licenses
StateLicense IDTaxonomies
CAA41887207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E48522Medicare UPIN
CAWA41887GMedicare PIN