Dr Eric Paige Wilson, MD | |
1403 W. Lomita Blvd, Suite 102, Harbor City, CA 90710 | |
(310) 534-6223 | |
Not Available |
Full Name | Dr Eric Paige Wilson |
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Gender | Male |
Speciality | Internal Medicine |
Location | 1403 W. Lomita Blvd, Harbor City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689906414 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A113458 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Dr Eric Paige Wilson, MD 1403 W. Lomita Blvd, Suite 102, Harbor City, CA 90710 Ph: (310) 534-6223 | Dr Eric Paige Wilson, MD 1403 W. Lomita Blvd, Suite 102, Harbor City, CA 90710 Ph: (310) 534-6223 |
Randel R. King, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Ryokei K. Imai, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Jennifer Wing-yun Lam, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Jeffrey L. Wang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Dr. Lawrence R Tom, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 424-251-7140 | |
Howard K. Baik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 | |
Morgan Y. Chen, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 25825 Vermont Ave, Harbor City, CA 90710 Phone: 310-325-5111 |