Provider Demographics
NPI:1700146818
Name:LA VIA, WILLIAM V (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:V
Last Name:LA VIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:654 PALMERA AVE
Mailing Address - Street 2:
Mailing Address - City:PACIFIC PALISADES
Mailing Address - State:CA
Mailing Address - Zip Code:90272-3356
Mailing Address - Country:US
Mailing Address - Phone:415-315-9037
Mailing Address - Fax:301-398-7418
Practice Address - Street 1:654 PALMERA AVE
Practice Address - Street 2:
Practice Address - City:PACIFIC PALISADES
Practice Address - State:CA
Practice Address - Zip Code:90272-3356
Practice Address - Country:US
Practice Address - Phone:415-315-9037
Practice Address - Fax:301-398-7418
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG650312080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases