Individual
DR. ANNALISA VICTORIA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4800
Mailing address
1731 E 120TH ST, LOS ANGELES, CA 90059-3051
(323) 563-4800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A192619
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2021
Last updated
02/14/2025
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