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Contact Information

KAREN L WILSON, MD
3811 VALLEY CENTRE DR
SAN DIEGO, CA92130
 Phone: 858-764-3030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KAREN L WILSON · (Female)

NPI # 1851390025
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 09/24/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036103153
  • IL Medicaid 036103153
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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