# ROBERT L WILSON M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346474889
- **Authorized official:** DR. ROBERT L WILSON M.D. (CEO/ PRESIDENT)
- **Authorized official phone:** (213) 484-1271

## Contact information

- **Practice address:** 2815 W SUNSET BLVD, 205, LOS ANGELES, CA 90026-2167
- **Practice address phone:** (213) 484-1271
- **Practice address fax:** (213) 484-1217
- **Mailing address:** 2815 W SUNSET BLVD, 205, LOS ANGELES, CA 90026-2167
- **Mailing address phone:** (213) 484-1271
- **Mailing address fax:** (213) 484-1217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A23286 | CA | Yes |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 05/12/2009