Harold T Wilson, MD | |
16063 Vanowen St, Van Nuys, CA 91406-4810 | |
(818) 785-9989 | |
(818) 785-3330 |
Full Name | Harold T Wilson |
---|---|
Gender | Male |
Speciality | Pediatrics - Pediatric Emergency Medicine |
Location | 16063 Vanowen St, Van Nuys, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619960457 | NPI | - | NPPES |
1619960457 | Other | TRICARE | |
5910044 | Medicaid | NC | |
1619960457 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | A 38694 (California) | Secondary |
2080P0204X | Pediatrics - Pediatric Emergency Medicine | 9701199 (North Carolina) | Primary |
Entity Name | Arroyo Vista Family Health Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447353701 PECOS PAC ID: 2264498930 Enrollment ID: O20041203000824 |
Mailing Address | Practice Location Address |
---|---|
Harold T Wilson, MD 16063 Vanowen St, Van Nuys, CA 91406-4810 Ph: (818) 785-9989 | Harold T Wilson, MD 16063 Vanowen St, Van Nuys, CA 91406-4810 Ph: (818) 785-9989 |
Kyu Hyun Kim, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 15243 Vanowen St, Suite 300, Van Nuys, CA 91405 Phone: 818-786-4910 Fax: 818-786-5512 | |
Peter Koetters, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-902-5771 | |
Karen Eileen Mcveigh, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-902-5771 | |
Dr. Gladys Hope Dadivas Yerro, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14555 Hamlin St Ste 108, Van Nuys, CA 91411 Phone: 818-781-2796 Fax: 818-781-2797 | |
Dr. Megha D. Shah, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Attn: Pediatric Department, Van Nuys, CA 91405 Phone: 818-902-2909 | |
Dr. Diego Mechoso, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15107 Vanowen St, Van Nuys, CA 91405 Phone: 818-902-5771 | |
Dr. Gary Posner, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7138 Van Nuys Blvd, Van Nuys, CA 91405 Phone: 818-778-6240 Fax: 818-994-8005 |