Matthew Thomas Wilson Md Facs

LBN: Matthew Thomas Wilson Md Facs
Matthew Thomas Wilson Md Facs is an health care organization with primary practice located at 436 N. Bedford Drive Suite 103, Beverly Hills CA 90210. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as the primary health care specialty. Matthew Thomas Wilson Md Facs can be contacted via phone (310) 777-8830, or through Wilson, Matthew Thomas via phone (310) 777-8830.

Contact Information

Primary practice address
436 N. Bedford Drive Suite 103 Beverly Hills CA 90210
Phone: (310) 777-8830
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Matthew Thomas Doctor of Medicine (MD)
Phone: (310) 777-8830

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A53944 California

Profile Details

NPI number 1013146539
LBN Legal business name Matthew Thomas Wilson Md Facs
DBA Doing business as
Authorized official Wilson, Matthew Thomas Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 6th, 2009
Last updated Feb 8th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013146539 NPPES
California MEDICAID 00A539440

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