Basic Information
Provider Information
NPI: 1114097516
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STARR
FirstName: WILLIAM
MiddleName: E.
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 800 S VICTORIA AVE, L4615
Address2: VCHCA - PHYSICIAN SERVICES
City: VENTURA
State: CA
PostalCode: 930090003
CountryCode: US
TelephoneNumber: 8056775181
FaxNumber: 8056775304
Practice Location
Address1: 300 HILLMONT AVE
Address2: BLDG 340, STE 401
City: VENTURA
State: CA
PostalCode: 930031651
CountryCode: US
TelephoneNumber: 8056410141
FaxNumber: 8056410430
Other Information
ProviderEnumerationDate: 11/09/2006
LastUpdateDate: 09/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000XA39823CAN Allopathic & Osteopathic PhysiciansOtolaryngology 
208200000XA39823CAY Allopathic & Osteopathic PhysiciansPlastic Surgery 

No ID Information.


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