Provider Demographics
NPI:1932123312
Name:STRAUSS, WILLIAM LARRY (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:LARRY
Last Name:STRAUSS
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 1:346 RHEEM BLVD
Mailing Address - Street 2:STE 105
Mailing Address - City:MORAGA
Mailing Address - State:CA
Mailing Address - Zip Code:94556
Mailing Address - Country:US
Mailing Address - Phone:925-376-5161
Mailing Address - Fax:
Practice Address - Street 1:346 RHEEM BLVD
Practice Address - Street 2:STE 105
Practice Address - City:MORAGA
Practice Address - State:CA
Practice Address - Zip Code:94556
Practice Address - Country:US
Practice Address - Phone:925-376-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG42004207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G420040Medicaid
CA00G420040Medicaid
CA00G420040Medicare ID - Type Unspecified