Basic Information
Provider Information
NPI: 1942425178
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAYTON
FirstName: WILLIAM
MiddleName: ANDREW
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 11201 BENSON ST
Address2: 116A
City: LOMA LINDA
State: CA
PostalCode: 923570001
CountryCode: US
TelephoneNumber: 9098257084
FaxNumber:  
Practice Location
Address1: 11201 BENSON ST
Address2: 116A
City: LOMA LINDA
State: CA
PostalCode: 923570001
CountryCode: US
TelephoneNumber: 9098257084
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/14/2007
LastUpdateDate: 04/18/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA94065CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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