# WILCO MED INNOVATIONS LLC

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

## Provider details

- **NPI number:** 1710851217
- **Authorized official:** SEBASTIAN EDUARDO DE LA TORRE (OWNER)
- **Authorized official phone:** (562) 243-5410

## Contact information

- **Practice address:** 7755 CENTER AVE FL 11, HUNTINGTON BEACH, CA 92647-3007
- **Practice address phone:** (714) 372-2224
- **Mailing address:** 7755 CENTER AVE FL 11, HUNTINGTON BEACH, CA 92647-3007
- **Mailing address phone:** (714) 372-2224

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2025
- **Last updated:** 09/30/2025