Individual
WILSON BANH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(800) 954-8000
Mailing address
4867 W SUNSET BLVD, LOS ANGELES, CA 90027-5969
(800) 954-8000
Taxonomy
Speciality
Code
Description
License number
State
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
34642
CA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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