Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH WILSON, PA
ActiveRANDOLPH WILSON, PA is a Physician Assistant healthcare provider located in LAMONT, California. NPI 1457496937 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAMONT, CA
Registration Details
- NPI Number
- 1457496937
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 21, 2007 (19.456797009418 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA18766 (CA)
Practice Information
- Address
-
8787 HALL ROADLAMONT, CA, 93241Browse CA providers · Browse ZIP 93241
- Phone
- 6618453731
- Fax
- 6618451157
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAMONT, CA
| Name | Credential | NPI |
|---|---|---|
| MR. FERNANDO U MATA | PAC | 1063594117 |
| MR. DOUGLAS MITCHELL HILTON | PA-C | 1700019353 |
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.