ETHAN WILSON
NPI 1285334276
Physical Medicine & Rehabilitation in Los Angeles, CA
About Ethan Wilson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN WILSON (NPI 1285334276) is an individual physical medicine & rehabilitation provider in Los Angeles, California, licensed in California (125.083306) and active in the NPI registry since March 2023. He maintains a secondary practice location in Berwyn.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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.
LOS ANGELES, CA 90073
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 Ethan Wilson's NPI number?
The NPI number for Ethan Wilson is 1285334276. It was assigned to this individual provider in the NPPES registry on March 8, 2023.
Where is Ethan Wilson located?
Ethan Wilson practices at 11301 Wilshire Blvd, Los Angeles, CA 90073. The listed phone number is (310) 478-3711.
What is Ethan Wilson's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Ethan Wilson was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.