Wilson, Matthew Dwain
Wilson, Matthew Dwain is an individual health care provider with primary practice located at 11175 Campus St , Loma Linda CA 92350-1700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wilson, Matthew Dwain can be contacted via phone (909) 558-8142.Contact Information
Primary practice address
11175 Campus St
Loma Linda CA 92350-1700
Phone: (909) 558-8142
Fax: (909) 558-5981
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C209024 | California |
Profile Details
| NPI number | 1942567672 |
|---|---|
| LBN Legal business name | Wilson, Matthew Dwain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2012 |
| Last updated | Jun 8th, 2026 - about 4 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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