Wilson, Gabriel Isaac

Wilson, Gabriel Isaac is an sole proprietor health care provider with primary practice located at 13160 Mindanao Way Ste 308 , Marina Del Rey CA 90292-7907. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wilson, Gabriel Isaac can be contacted via phone (310) 492-9355.

Contact Information

Primary practice address
13160 Mindanao Way Ste 308 Marina Del Rey CA 90292-7907
Phone: (310) 492-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X California

Profile Details

NPI number 1376073213
LBN Legal business name Wilson, Gabriel Isaac
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2017
Last updated Jun 13th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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