Organization
ROBERT LEE WILSON, M.D., MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE WILSON M.D. (OWNER)
(323) 664-1324
Entity
Organization
Contact information
Practice address
2801 ATLANTIC AVENUE, LONG BEACH, CA 90806-1701
(562) 933-1550
Mailing address
3675 AMESBURY ROAD, LOS ANGELES, CA 90027
(323) 664-1324
(323) 953-5119
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A23286
CA
Other
Enumeration date
09/15/2006
Last updated
08/22/2020
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