Individual
AMAYA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
380 W CENTRAL AVE STE 310, BREA, CA 92821-3066
(657) 286-2670
(657) 286-2668
Mailing address
380 W CENTRAL AVE STE 310, BREA, CA 92821-3066
(657) 286-2670
(657) 286-2668
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA67936
CA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/09/2026
Last updated
03/27/2026
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