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05D0685858 CLIA NUMBER - WILLIAM J WICKWIRE MD INC

Laboratory Demographics

CLIA Number: 05D0685858

Facility Name: WILLIAM J WICKWIRE MD INC

Facility Address:
500 PACIFIC COAST HWY STE 212
SEAL BEACH, CA
ZIP 90740
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Facility Phone Number: 562 431-8554

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1881659142

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D0685858
LAB Type Physician Office
Facility Name WILLIAM J WICKWIRE MD INC
Street 500 PACIFIC COAST HWY STE 212
City SEAL BEACH
State CA
ZIP 90740
Phone 562 431-8554
CertificateType 2
CertificateEffectiveDate 2/21/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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This page was last updated on: 4/23/2024