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Contact Information

JULIA M WILSON
55 FAIR DR
COSTA MESA, CA92626-6520
 Phone: 714-668-6103
 Fax: 714-966-6306
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Cardiac Rehabilitation

163WC3500X
Indicates primary specialty

NPI Profile & details for JULIA M WILSON · (Female)

NPI Number 1528429149
Status Active
Credentials
Entity Individual
Enumeration date 03/09/2016
Last updated 03/09/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 361377
  • CA License # 9016
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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