Provider Demographics
NPI:1861657033
Name:LORENTZ, WILLIAM CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:CHARLES
Last Name:LORENTZ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11301 WILSHIRE BLVD
Mailing Address - Street 2:BLDG 500 ROOM 0426
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90073-1003
Mailing Address - Country:US
Mailing Address - Phone:310-268-3390
Mailing Address - Fax:310-268-4925
Practice Address - Street 1:11301 WILSHIRE BLVD
Practice Address - Street 2:BLDG 500 ROOM 0426
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90073-1003
Practice Address - Country:US
Practice Address - Phone:310-268-3390
Practice Address - Fax:310-268-4925
Is Sole Proprietor?:No
Enumeration Date:2008-07-26
Last Update Date:2014-01-20
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Provider Licenses
StateLicense IDTaxonomies
CAA1091392085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology