Provider Demographics
NPI:1649635095
Name:CHERNIAK, WILLIAM (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:CHERNIAK
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2219 MAIN ST UNIT 653
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2217
Mailing Address - Country:US
Mailing Address - Phone:831-777-4283
Mailing Address - Fax:
Practice Address - Street 1:20311 SW ACACIA ST STE 140
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-1733
Practice Address - Country:US
Practice Address - Phone:831-777-4283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-29
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD80655261QU0200X
CAA157750207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care