DR. ARCHIE FREDRIC WILSON (NPI# 1366688236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366688236 |
Entity Type | Individual |
Full Name | DR. ARCHIE FREDRIC WILSON |
Credential | M.D., PH.D. |
Practice Address |
11244 Homedale St Los Angeles CA 90049-3019 |
Practice Telephone | 3104769802 |
Practice Fax Number | 3104408039 |
Mailing Telephone | 3104769802 |
Mailing Fax Number | 3104408039 |
Enumeration Date | 2008-12-26 |
Last Update Date | 2008-12-26 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
A018142 | CA | Allopathic & Osteopathic Physicians |
Street Address |
11244 HOMEDALE ST |
City | LOS ANGELES |
State | CA |
Zip Code | 90049-3019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316564339 | Kepp Family & Group Practice | Marriage & Family Therapist | 12011 San Vincente Blvd, 408, Los Angeles, CA 90049 | 2020-06-26 |
1386204493 | Steven J Lehrman | Marriage & Family Therapist | 179 S. Barrington Place, Office A, Los Angeles, CA 90049 | 2019-06-20 |
1922562990 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 860 S. Sepulveda Blvd., Los Angeles, CA 90049 | 2019-01-24 |
1851864946 | Christie Schnur | Marriage & Family Therapist | 11911 San Vicente Blvd., Los Angeles, CA 90049 | 2019-01-10 |
1669954012 | Barbara Jiji Schenk | Marriage & Family Therapist | 520 S. Sepulveda Blvd #402, Los Angeles, CA 90049 | 2018-09-02 |
1972090710 | Community Reflections Inc | Counselor | 10020 So. Western Ave, 10020 So. Western Ave, Los Angeles, CA 90049 | 2018-04-17 |
1245738830 | Dr. Shirin Tabib LLC | Marriage & Family Therapist | 61133 San Vincent Blvd, Suite 318 A, Los Angeles, CA 90049 | 2018-01-29 |
1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
1598286478 | Marvin S Serrano | Physical Therapy Assistant | 11740 San Vicente Boulevard Suite 205, Los Angeles, CA 90049 | 2017-06-30 |
1972055812 | Evolve Growth Initiatives, LLC | Psychiatric Residential Treatment Facility | 820 Moraga Drive, Los Angeles, CA 90049 | 2016-10-26 |
Find all providers in zip 90049 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497297659 | Jon Bennett Glazier | Internal Medicine | 3343 Mandeville Canyon Rd, Los Angeles, CA 90049-1017 | 2016-11-04 |
1144586637 | Jason Hong | Internal Medicine | 200 Ucla Medical Plz Ste 365-b, Los Angeles, CA 90095-8344 | 2012-04-09 |
1255651378 | Louis S Park M D Inc | Internal Medicine | 1300 N Vermont Ave # 600, Los Angeles, CA 90027-6098 | 2010-06-11 |
1669627691 | William Fred Bierer | Internal Medicine | 9009 Beverly Blvd, Los Angeles, CA 90048 | 2008-11-18 |
1114191186 | Patricia Hedieh Eshaghian | Internal Medicine | Ucla Division of Pulmonary and Critical Care, Chs 37-131, Los Angeles, CA 90095-0001 | 2008-04-21 |
1588856538 | Caroline A. Kim | Internal Medicine | 6041 Cadillac Avenue, Suite 248, Kaiser Permanente, Los Angeles, CA 90034 | 2007-08-14 |
1790815082 | Los Angeles Lung Center - A Professional Medical Corporation | Internal Medicine | 1245 Wilshire Blvd Ste 305, Los Angeles, CA 90017-4803 | 2007-03-06 |
1912086331 | Yungae Kristy Kim | Internal Medicine | 3435 Wilshire Blvd Ste 500, Los Angeles, CA 90010-1906 | 2006-11-05 |
1780765933 | Ramadas Abboy | Internal Medicine | 1700 E Cesar E Chavez Ave Ste 3100, Los Angeles, CA 90033-2469 | 2006-10-17 |
1013097088 | Sabena Toor | Internal Medicine | 8635 W 3rd St Ste 355w, Los Angeles, CA 90048-6112 | 2006-10-16 |
Find all providers in LOS ANGELES |
City | LOS ANGELES |
Zip Code | 90049 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.