Individual
MATTHEW JAMES WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
954 N VERMONT AVE, LOS ANGELES, CA 90029-3529
(562) 867-7999
Mailing address
5650 JILLSON ST, COMMERCE, CA 90040-1482
(562) 867-7999
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
794010
NY
163W00000X
Registered Nurse
95325357
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
404299
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95024881
CA
Other
Enumeration date
06/22/2020
Last updated
08/30/2023
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