Wilson Park, D.C

NPI 1548337587 · on the registry since 2006 · sole proprietor

Practice

Address: 2940 Westwood Blvd
Suite #1
Los Angeles, CA 90064
Phone: (310) 869-0536
Fax: (310) 441-3727
Organisation at this address: Wilson C Park Chiropractic Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 9

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

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