| John W. Wilson, Md, Inc. | |
|
1800 Sullivan Ave Room 503 Daly City CA 94015-2228 | |
| (650) 994-9090 | |
| (650) 994-9093 |
| Full Name | John W. Wilson, Md, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Sullivan Ave, Daly City, California |
| Authorized Official Name and Position | John Wells Wilson (OWNER) |
| Authorized Official Contact | 6509949090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John W. Wilson, Md, Inc. Po Box 2248 Daly City CA 94017-2248 Ph: (650) 994-9090 | John W. Wilson, Md, Inc. 1800 Sullivan Ave Room 503 Daly City CA 94015-2228 Ph: (650) 994-9090 |
| NPI Number | 1023107109 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 04/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023107109 | NPI | - | NPPES |
| 2411141 | Other | CA | CORPORATION # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A049745 (California) | Primary |
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