| Reed S Wilson Md A Professional Corp | |
|
435 N Roxbury Dr Suite #300 Beverly Hills CA 90210-5027 | |
| (310) 859-9170 | |
| Not Available |
| Full Name | Reed S Wilson Md A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 435 N Roxbury Dr, Beverly Hills, California |
| Authorized Official Name and Position | Reed Scott Wilson (PRESIDENT) |
| Authorized Official Contact | 3107537311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reed S Wilson Md A Professional Corp 325 N Maple Dr Unit 10417 Beverly Hills CA 90213-4919 Ph: (310) 753-7311 | Reed S Wilson Md A Professional Corp 435 N Roxbury Dr Suite #300 Beverly Hills CA 90210-5027 Ph: (310) 859-9170 |
| NPI Number | 1316037138 |
|---|---|
| Provider Enumeration Date | 10/13/2006 |
| Last Update Date | 08/21/2020 |
| Medicare PECOS PAC ID | 8224176516 |
|---|---|
| Medicare Enrollment ID | O20091106000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316037138 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G45920 (California) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | G45920 (California) | Primary |
| Provider Name | Reed S Wilson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013006212 PECOS PAC ID: 3072651363 Enrollment ID: I20091106000039 |
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