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SEYMOURA RAYCHANEL WILSON CRT HAIR LOSS SPT
NPI 1134719800
Specialist - Prosthetics Case Management in Los Angeles, CA

Active since January 26, 2021
3411 CRENSHAW BLVD APT 511, LOS ANGELES, CA 90016(323) 614-1465 Get Directions Write a Review

NPPES record last updated: January 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Seymoura Raychanel Wilson Crt Hair Loss Spt NPPES

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

SEYMOURA RAYCHANEL WILSON CRT HAIR LOSS SPT (NPI 1134719800) is an individual prosthetics case management provider in Los Angeles, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1134719800
Entity TypeIndividualFemale
Primary Taxonomy1744P3200X
Provider Legal NameSEYMOURA RAYCHANEL WILSONCredential: CRT HAIR LOSS SPT
Location Address3411 CRENSHAW BLVD APT 511Los Angeles, CA 90016-4879
Mailing Address1915 Leighton AveLos Angeles, CA 90062-1316 · (323) 614-1465
Phone(323) 614-1465
Sole ProprietorYes
Enumeration DateJanuary 26, 2021
NPPES CertifiedJanuary 26, 2021
✔ NPI 1134719800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

Also ListedDurable Medical Equipment & Medical Supplies · Customized EquipmentTaxonomy 332BC3200X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
3411 CRENSHAW BLVD APT 511, Los Angeles, CA 90016
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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 Seymoura Wilson's NPI number?

The NPI number for Seymoura Wilson is 1134719800. It was assigned to this individual provider in the NPPES registry on January 26, 2021.

Where is Seymoura Wilson located?

Seymoura Wilson practices at 3411 Crenshaw Blvd Apt 511, Los Angeles, CA 90016. The listed phone number is (323) 614-1465.

What is Seymoura Wilson's specialty?

The primary specialty registered for this NPI is Specialist, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Seymoura Wilson was last updated on January 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.