Organization
VERNON R. WILSON, MD A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Dermatology Treatment Center of the South Bay
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CASSANDRA STARKS (MANAGER)
(310) 534-9100
Entity
Organization
Contact information
Practice address
3445 PACIFIC COAST HWY, 220, TORRANCE, CA 90505-6658
(310) 534-9100
(310) 534-9112
Mailing address
3445 PACIFIC COAST HWY, 220, TORRANCE, CA 90505-6658
(310) 534-9100
(310) 534-9112
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G62857
CA
Other
Enumeration date
07/02/2015
Last updated
09/15/2015
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