Provider Demographics
NPI:1770653305
Name:HUTCHINSON, WILLIAM B JR (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:B
Last Name:HUTCHINSON
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:2001 SANTA MONICA BLVD
Mailing Address - Street 2:#890W
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2102
Mailing Address - Country:US
Mailing Address - Phone:310-453-1786
Mailing Address - Fax:310-584-9992
Practice Address - Street 1:2001 SANTA MONICA BLVD
Practice Address - Street 2:#890W
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2102
Practice Address - Country:US
Practice Address - Phone:310-453-1786
Practice Address - Fax:310-584-9992
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2014-11-26
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Provider Licenses
StateLicense IDTaxonomies
CAA25923208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
A83306Medicare UPIN
CAA25923Medicare PIN