Provider Demographics
NPI:1740215441
Name:HOOKS, WILLIAM K (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:K
Last Name:HOOKS
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 1:18335 SUNSHINE CT
Mailing Address - Street 2:
Mailing Address - City:LA PUENTE
Mailing Address - State:CA
Mailing Address - Zip Code:91744-5973
Mailing Address - Country:US
Mailing Address - Phone:951-255-9568
Mailing Address - Fax:626-839-9090
Practice Address - Street 1:18335 SUNSHINE CT
Practice Address - Street 2:
Practice Address - City:LA PUENTE
Practice Address - State:CA
Practice Address - Zip Code:91744-5973
Practice Address - Country:US
Practice Address - Phone:951-255-9568
Practice Address - Fax:626-839-9090
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG408212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G408210Medicaid
CA00G408210OtherBLUE SHIELD
CAWG40821MMedicare ID - Type Unspecified
CAWG40821OMedicare ID - Type Unspecified
CAWG40821RMedicare ID - Type Unspecified
CAWG40821SMedicare ID - Type Unspecified
CAWG40821LMedicare ID - Type Unspecified
CAWG40821PMedicare ID - Type Unspecified
CAA92206Medicare UPIN
CA00G408210OtherBLUE SHIELD
CA00G408210Medicare ID - Type Unspecified
CAWG40821NMedicare ID - Type Unspecified
CAWG40821UMedicare ID - Type Unspecified
CAWG40821TMedicare ID - Type Unspecified
CA00G408210Medicaid