WILLA LILLY BRINKLEY DO NPI 1275783755

NPI Information

NPI: 1275783755
Provider Name: WILLA LILLY BRINKLEY, DO
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
140 AVENIDA ALGODON
SAN CLEMENTE, CA
ZIP 92672
Phone: (949) 366-0432
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Willa Lilly Brinkley, DO is a general practice in San Clemente, CA. Willa Lilly Brinkley, DO NPI is 1275783755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 AVENIDA ALGODON
SAN CLEMENTE, CA
ZIP 92672-182
Phone: (949) 366-0432
Fax: (888) 508-3372

The enumeration date for this NPI number is 9/22/2008 and was last updated on 9/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		20A4676	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	33-0825421	OTHER	CALIFORNIA	NONE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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