NPI 1013146539
Matthew Thomas Wilson MD Facs
Practice location
- Address
- 436 N. Bedford Drive Suite 103, Beverly Hills, CA 90210
- Phone
- (310) 777-8830
- Mailing address
- P.O. Box 892649, Temecula, CA 92589
Authorised official
- Name
- Matthew Thomas Wilson
- Title
- President
- Phone
- (310) 777-8830
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1013146539
- Entity type
- Organization
- NPI issued
- 6 Jul 2009
- Record last updated
- 8 Feb 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.