Search › California › 363A00000X
Rusty Wilson, PA
NPI 1336751395 · on the registry since 2020 · sole proprietor
Practice
- Address
- 10710 N Torrey Pines Rd
La Jolla, CA 92037 - Phone
- (858) 554-8080
- Fax
- (858) 554-8231
- Clinicians at this address
- 141
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-09-16
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