Wilson, Juliana Suzanne
Wilson, Juliana Suzanne is an sole proprietor health care provider with primary practice located at 7872 Walker St , La Palma CA 90623-1796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wilson, Juliana Suzanne can be contacted via phone (714) 527-8777.Contact Information
Primary practice address
7872 Walker St
La Palma CA 90623-1796
Phone: (714) 527-8777
Fax: (714) 527-8990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA16242 | California |
Profile Details
| NPI number | 1851587919 |
|---|---|
| LBN Legal business name | Wilson, Juliana Suzanne |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Mar 7th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851587919 | NPPES |
| California | Other | W12122A | MEDICARE GROUP NUMBER |
| California | Other | W12122 | MEDICARE GROUP NUMBER |
| California | MEDICAID | GR0061200 | MEDICARE GROUP NUMBER |
| California | MEDICAID | GR0061190 | MEDICARE GROUP NUMBER |
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