Provider Demographics
NPI:1679568539
Name:BOLLING, WILLIAM SETH (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SETH
Last Name:BOLLING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:120 S SPALDING DR
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-1800
Mailing Address - Country:US
Mailing Address - Phone:310-860-3470
Mailing Address - Fax:310-659-2724
Practice Address - Street 1:120 S SPALDING DR
Practice Address - Street 2:SUITE 400
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1800
Practice Address - Country:US
Practice Address - Phone:310-860-3470
Practice Address - Fax:310-659-2724
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-16
Last Update Date:2009-09-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72573207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABO174ZMedicare PIN
WA72573AMedicare PIN