Provider Demographics
NPI:1528173127
Name:HERINGER, WILLIAM J (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:HERINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2030 VIBORG RD STE 201
Mailing Address - Street 2:
Mailing Address - City:SOLVANG
Mailing Address - State:CA
Mailing Address - Zip Code:93463-3226
Mailing Address - Country:US
Mailing Address - Phone:805-688-7200
Mailing Address - Fax:805-688-2894
Practice Address - Street 1:2030 VIBORG RD STE 201
Practice Address - Street 2:
Practice Address - City:SOLVANG
Practice Address - State:CA
Practice Address - Zip Code:93463-3226
Practice Address - Country:US
Practice Address - Phone:805-688-7200
Practice Address - Fax:805-688-2894
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2020-07-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG38247207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G382470Medicaid
A47411Medicare UPIN
CA00G382470Medicaid