Search › California › 363LF0000X
Theresa Wilson
NPI 1760631592 · on the registry since 2008
Practice
- Address
- 724 S El Camino Real
San Clemente, CA 92672 - Phone
- (949) 493-6113
- Fax
- (949) 493-5851
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-11-30
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