Wilson, Rusty J

Wilson, Rusty J is an sole proprietor health care provider with primary practice located at 10710 N Torrey Pines Rd , La Jolla CA 92037-1035. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Wilson, Rusty J can be contacted via phone (858) 554-8080.

Contact Information

Primary practice address
10710 N Torrey Pines Rd La Jolla CA 92037-1035
Phone: (858) 554-8080
Fax: (858) 554-8231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA59998 California
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA59998 California

Profile Details

NPI number 1336751395
LBN Legal business name Wilson, Rusty J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2020
Last updated Sep 16th, 2021 - about 3 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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