Individual
ANDREW MICHAEL WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 MEDICAL PLAZA # B200, LOS ANGELES, CA 90095
(310) 794-1195
(310) 794-7491
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A130664
CA
Other
Enumeration date
03/28/2012
Last updated
01/14/2020
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