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GLENNA DIANE WILSON
NPI 1073186839
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since July 20, 2021
1731 E 120TH ST, LOS ANGELES, CA 90059(323) 568-3381 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glenna Diane Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENNA DIANE WILSON (NPI 1073186839) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1073186839
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameGLENNA DIANE WILSON
Location Address1731 E 120TH STLos Angeles, CA 90059-3051
Mailing Address1731 E 120th StLos Angeles, CA 90059-3051 · (323) 568-3381
Phone(323) 568-3381
Sole ProprietorNo
Enumeration DateJuly 20, 2021
NPPES CertifiedJuly 20, 2021
✔ NPI 1073186839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1731 E 120TH ST, Los Angeles, CA 90059
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MADISON KAUANOE WILLIAMS MD
Psychiatry & Neurology (Psychiatry)
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
CHRIS NOLASCO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 568-3347
SAMUEL KIM MD
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-2480
KATIA CAMPOS
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
TIFFANY MOLINA TAN
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
JASMINE ALEXANDRIA HOLLOWAY
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
SHARDAE BLANDIN
Physician Assistant
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800
BRIAN GIOVANNI MONTANO
Student in an Organized Health Care Education/Training Program
1731 E 120TH ST
LOS ANGELES, CA 90059
Los Angeles County (323) 563-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenna Wilson's NPI number?

The NPI number for Glenna Wilson is 1073186839. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Where is Glenna Wilson located?

Glenna Wilson practices at 1731 E 120th St, Los Angeles, CA 90059. The listed phone number is (323) 568-3381.

What is Glenna Wilson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Glenna Wilson was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.