Individual
BARRY LOWELL WILEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17075 DEVONSHIRE ST STE 306, NORTHRIDGE, CA 91325-5417
(818) 831-3227
(818) 831-3447
Mailing address
17075 DEVONSHIRE ST STE 306, NORTHRIDGE, CA 91325-5417
(818) 831-3227
(818) 831-3447
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A55781
CA
2085R0204X
Vascular & Interventional Radiology Physician
A55781
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A055781
STATE LICENSE
CA
Enumeration date
07/26/2006
Last updated
05/18/2015
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