Provider Demographics
NPI:1902013733
Name:WILLIAMS, IRIS DAWN (DC)
Entity Type:Individual
Prefix:DR
First Name:IRIS
Middle Name:DAWN
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1551 N LA BREA AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7003
Mailing Address - Country:US
Mailing Address - Phone:323-874-2225
Mailing Address - Fax:323-874-2266
Practice Address - Street 1:1551 N LA BREA AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7003
Practice Address - Country:US
Practice Address - Phone:323-874-2225
Practice Address - Fax:323-874-2266
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor