Provider Demographics
NPI:1457686842
Name:WILLIAMS, DUSTIN JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:JAMES
Last Name:WILLIAMS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8500 FALMOUTH AVE UNIT 3316
Mailing Address - Street 2:
Mailing Address - City:PLAYA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90293-8727
Mailing Address - Country:US
Mailing Address - Phone:424-209-8490
Mailing Address - Fax:424-253-8208
Practice Address - Street 1:2001 S BARRINGTON AVE STE 101
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5337
Practice Address - Country:US
Practice Address - Phone:424-209-8490
Practice Address - Fax:424-253-8208
Is Sole Proprietor?:No
Enumeration Date:2009-10-02
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31325111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor