DR. KELLY DALE WILLIAMS (NPI# 1275795874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275795874 |
| Entity Type | Individual |
| Full Name | DR. KELLY DALE WILLIAMS |
| Credential | M.D. |
| Practice Address |
4201 Torrance Blvd Ste 600 Torrance CA 90503 |
| Mailing Address |
5767 W Century Blvd Ste 400 Los Angeles CA 90045-5631 |
| Practice Telephone | 3103164373 |
| Practice Fax Number | 3103161291 |
| Mailing Telephone | 3103018707 |
| Mailing Fax Number | 3103018751 |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2019-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 110923 | CA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 046259 | AZ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12462 Putnam St, Suite 303, Whittier, CA 906021048 | 5627895440 | 5627894440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508323528 | Kelly Mikel Williams | Technician | 1003 Anderson Pl Se, Washington, DC 20032-4405 | 2019-02-26 |
| 1093178493 | Kelly Williams | Counselor | 1105 Cedar Crest Dr, Minden, NV 89423-5168 | 2016-04-01 |
| 1174936868 | Kelly Williams | Behavioral Analyst | 4001 Glenarm Ave, Baltimore, MD 21206-2527 | 2014-06-10 |
| 1689097446 | Kelly Williams | Registered Nurse | 18889 Saint Aubin St, Detroit, MI 48234-1220 | 2014-01-30 |
| 1588905970 | Kelly D Williams | Nurse Practitioner | 560 Queens Court Pl, Saint Peters, MO 63376-7349 | 2013-03-08 |
| 1750632204 | Kelly B Williams | Physical Therapy Assistant | 1127 Knight Dr, Columbus, GA 31906-2731 | 2012-09-24 |
| 1518241462 | Kelly Ann Williams | Pharmacist | 301 S. Sante Fe Avenue, Edmond, OK 73003 | 2011-10-10 |
| 1801190210 | Kelly Anne Williams | Health Educator | 9613 Sudley Manor Dr, Manassas, VA 20109-3345 | 2010-12-28 |
| 1235463621 | Kelly Williams | Counselor | 89 Access Rd Ste A2, Norwood, MA 02062-5229 | 2009-10-01 |
| 1487889465 | Kelly Marie Williams | Hearing Instrument Specialist | 165 E. Rowland Street, Covina, CA 91723-3049 | 2009-05-20 |
| Street Address |
4201 TORRANCE BLVD STE 600 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982618500 | Jeffrey Jay Cowan | Obstetrics & Gynecology | 4201 Torrance Blvd Ste 600, Torrance, CA 90503-4523 | 2006-07-28 |
| 1104176668 | Revana Lukman | Obstetrics & Gynecology | 4201 Torrance Blvd Ste 600, Torrance, CA 90503-4523 | 2012-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164871513 | Sunetris Fluellen | Obstetrics & Gynecology | 2841 Lomita Blvd Ste 200, Torrance, CA 90505-5110 | 2016-06-07 |
| 1629487889 | Deepjot K Singh Md Inc | Obstetrics & Gynecology | 3400 Torrance Blvd, Suite 500, Torrance, CA 90503-5803 | 2014-08-12 |
| 1285971630 | Advanced Ob Gyn Associates A Medical Corporation | Obstetrics & Gynecology | 23456 Hawthorne Blvd Ste 260, Torrance, CA 90505-4716 | 2013-01-04 |
| 1003086893 | James N Scharffenberger Md Inc | Obstetrics & Gynecology | 20911 Earl St Ste 480, Torrance, CA 90503-4355 | 2008-03-07 |
| 1558553958 | Ramy Eskander | Obstetrics & Gynecology | 1000 W. Carson Sreet, Dept of Ob/gyn - Box #3, Torrance, CA 90509 | 2007-08-10 |
| 1407989379 | Prohealth Partners A Medical Group | Obstetrics & Gynecology | 4201 Torrance Blvd Ste 480, Torrance, CA 90503-4588 | 2007-03-13 |
| 1942375928 | Carline Louis-jacques | Obstetrics & Gynecology | 4305 Torrance Blvd Ste 305, Torrance, CA 90503-4413 | 2006-11-22 |
| 1104906411 | David S Lu, Md, Inc | Obstetrics & Gynecology | 20911 Earl St Ste 290, Torrance, CA 90503-4354 | 2006-10-17 |
| 1174631873 | Anne Marie Moylan | Obstetrics & Gynecology | 3400 Lomita Blvd #602, Torrance, CA 90505 | 2006-08-25 |
| 1386758399 | Stephanie M Culver | Obstetrics & Gynecology | 4201 Torrance Blvd Ste 260, Torrance, CA 90503 | 2006-08-18 |
| Find all providers in TORRANCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.