Thomas Max Williams Jr., Bachelors

Rehabilitation Practitioner in Los Angeles, CA. Individual provider (NPI-1).

NPI number1235262007

StatusActive

Last updated in NPPESMar 10, 2023

Details

NPI: 1235262007
Entity type: Individual (NPI-1)
Name: Mr. Thomas Max Williams Jr.
Credential: Bachelors
Sex: Male
Sole proprietor: No
Enumeration date: Mar 13, 2007
Certification date: Mar 10, 2023
Last updated: Mar 10, 2023

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
225400000X	Rehabilitation Practitioner	–	–	Yes
171M00000X	Case Manager/Care Coordinator	–	–

Practice location

11601 S Western Ave
Los Angeles, CA 90047-5006

Phone 323-242-5000

Mailing address

11601 S Western Ave
Los Angeles, CA 90047-5006

Phone 323-242-5000

Is something wrong?

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