Michele Wilson

NPI 1013453695 · on the registry since 2017

Practice

Address: 433 N Hoover St
Los Angeles, CA 90004
Phone: (323) 644-2040
Fax: (323) 644-2036
Organisation at this address: Gateway Wellmess Center
Gateways Satellite Outpatient Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 225400000X
225400000X
Also registered as: 101YM0800X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2017-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California