Provider Demographics
NPI:1538258082
Name:LUXFORD, WILLIAM M (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:M
Last Name:LUXFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1245 WILSHIRE BLVD STE 480
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-5809
Mailing Address - Country:US
Mailing Address - Phone:213-483-9930
Mailing Address - Fax:562-967-2363
Practice Address - Street 1:1245 WILSHIRE BLVD STE 480
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-5809
Practice Address - Country:US
Practice Address - Phone:213-483-9930
Practice Address - Fax:562-967-2363
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG32368207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG32368BMedicare PIN
A45120Medicare UPIN
CAG32368Medicare PIN