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Contact Information

MATTHEW THOMAS WILSON MD FACS
436 N. BEDFORD DRIVE
SUITE 103
BEVERLY HILLS, CA90210
 Phone: 310-777-8830
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MATTHEW THOMAS WILSON MD FACS · (Female)

NPI # 1013146539
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2009
Last updated 02/08/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A53944
  • CA Medicaid 00A539440
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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