Provider Demographics
NPI:1386668275
Name:FORAN, WILLIAM F FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM F
Middle Name:FRANCIS
Last Name:FORAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 HILL DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1109
Mailing Address - Country:US
Mailing Address - Phone:323-258-5573
Mailing Address - Fax:323-258-7526
Practice Address - Street 1:4650 LINCOLN BLVD
Practice Address - Street 2:
Practice Address - City:MARINA DEL REY
Practice Address - State:CA
Practice Address - Zip Code:90292-6306
Practice Address - Country:US
Practice Address - Phone:310-823-8911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG79386207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G793860Medicaid
CA00G793860OtherBLUE SHIELD
G39478Medicare UPIN
CAWG79386AMedicare ID - Type Unspecified
CAAS424ZMedicare PIN