Samuel L. Wilson, M.D., Inc.

LBN: Samuel L. Wilson, M.D., Inc.
Samuel L. Wilson, M.D., Inc. is an health care organization with primary practice located at 1137 2Nd St Suite 111, Santa Monica CA 90403-5011. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Samuel L. Wilson, M.D., Inc. can be contacted via phone (310) 395-9590, or through Wilson, Samuel L. via phone (310) 395-9590.

Contact Information

Primary practice address
1137 2Nd St Suite 111 Santa Monica CA 90403-5011
Phone: (310) 395-9590
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wilson, Samuel L. Doctor of Medicine (MD)
Phone: (310) 395-9590

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X A21662 California

Profile Details

NPI number 1962761668
LBN Legal business name Samuel L. Wilson, M.D., Inc.
DBA Doing business as
Authorized official Wilson, Samuel L. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2012
Last updated May 15th, 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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