Individual
MRS. MICHAELYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8601 LINCOLN BLVD STE 160, LOS ANGELES, CA 90045-8844
(310) 424-3434
(310) 216-9207
Mailing address
8601 LINCOLN BLVD STE 160, LOS ANGELES, CA 90045-8844
(310) 424-3434
(310) 216-9207
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G79379
CA
Other
Enumeration date
11/21/2006
Last updated
01/02/2026
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