DR. ARCHIE FREDRIC WILSON


Address: 11244 Homedale St, Los Angeles, CA 90049-3019
Phone: 3104769802

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
A018142 CA Allopathic & Osteopathic Physicians

Office Location

Street Address 11244 HOMEDALE ST
City LOS ANGELES
State CA
Zip Code 90049-3019

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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LOS ANGELES
Zip Code 90049

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Dataset Information

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.

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