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Jerome Wilson

NPI 1891401949 · on the registry since 2023 · sole proprietor

Practice

Address: 2750 E Washington Blvd
Pasadena, CA 91107
Phone: (626) 296-8900
Organisation at this address: Graidukel Med Inc
Lionel P Ng Md Inc
Jason K Boutros M D Inc
Ashok S. Raj, M.D., Inc.
Eaton Canyon Pediatric Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 147

Registry record

Primary taxonomy: Day Training/Habilitation Specialist
373H00000X
Also registered as: Community Health Worker
Case Manager/Care Coordinator
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-05-05

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