Provider Demographics
NPI:1689740805
Name:WILLIAM L. CATON III M.D., INC
Entity Type:Organization
Organization Name:WILLIAM L. CATON III M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:CATON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:626-793-8194
Mailing Address - Street 1:630 S RAYMOND AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3278
Mailing Address - Country:US
Mailing Address - Phone:626-793-8194
Mailing Address - Fax:626-793-3664
Practice Address - Street 1:630 S RAYMOND AVE
Practice Address - Street 2:SUITE 330
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3278
Practice Address - Country:US
Practice Address - Phone:626-793-8194
Practice Address - Fax:626-793-3664
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG23691207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G236910Medicaid
CA00G236910Medicaid
CA6395110001Medicare NSC