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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

WILSON BANH

Active Sole Proprietor

WILSON BANH is a 2279C0205X healthcare provider located in LOS ANGELES, California. NPI 1104300540 is currently active in the NPPES registry. Verify at CMS.

2279C0205X · LOS ANGELES, CA

Registration Details

NPI Number
1104300540
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2018 (7.9113347786451 yrs)
Last Updated
Sep 21, 2018
License
34642 (CA)
Sole Proprietor
Yes

Practice Information

Address
4867 W SUNSET BLVD
LOS ANGELES, CA, 900275969
Browse CA providers · Browse ZIP 90027
Phone
8009548000
Primary Specialty
2279C0205X
2279C0205X

Other 2279C0205X Providers in LOS ANGELES, CA

Name Credential NPI
MS. KATIA MARIA CHAVEZ RRT, RRT-NPS 1790958809
MR. PATRICK WILLIS RRT 1679826598
UYANGA BATMUNKH 1912421058
NATALIE TRANSU 1427572387
PAOLA G. ROACH RCP 1104340082
MARY ANTONIA JUAREZ RCP 1033633912
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.