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Search › California › 207V00000X

Keith Wilson

NPI 1730183344 · on the registry since 2005

Practice

Address
1401 N Montebello Blvd
Montebello, CA 90640
Phone
(714) 478-2253
Fax
(323) 889-7819
Organisation at this address
Luxottica Retail North America Inc
Altamed Health Network, Senior Services Plan, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207V00000X
207V00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-03-10

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