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MARY L. WILSON MD
NPI 1609935204
Pediatrics - Neonatal-Perinatal Medicine in Los Angeles, CA

Active since December 08, 2006
4760 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 783-4011 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mary L. Wilson Md NPPES

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

MARY L. WILSON MD (NPI 1609935204) is an individual neonatal-perinatal medicine provider in Los Angeles, California, licensed in California (G43430) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1609935204
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMARY L. WILSONCredential: MD
Location Address4760 W SUNSET BLVDLos Angeles, CA 90027-6063
Mailing Address4760 W Sunset BlvdLos Angeles, CA 90027-6063 · (323) 783-4011
Phone(323) 783-4011
Sole ProprietorNo
Enumeration DateDecember 8, 2006
Last NPPES UpdateSeptember 23, 2008
✔ NPI 1609935204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in CA · G43430
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
4760 W SUNSET BLVD, Los Angeles, CA 90027
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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.

SOMJOT S. BRAR MD
Internal Medicine (Cardiovascular Disease)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
DR. BROOKE VUONG M.D.
Student in an Organized Health Care Education/Training Program
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1737
KARIN W HOLMES PSW
Social Worker (Clinical)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
DR. SHANT SHEKHERDIMIAN MD
Surgery
4760 W SUNSET BLVD, 3RD FLOOR
LOS ANGELES, CA 90027
Los Angeles County (323) 783-1737
SHIRIN KAZEMI
Physician Assistant (Surgical)
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (800) 954-8000
DR. DAMIEN CRAIG RODGER MD, PHD
Ophthalmology
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
CAROL JACKSON CRNA
Nurse Anesthetist, Certified Registered
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011
SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP
Health Maintenance Organization
4760 W SUNSET BLVD
LOS ANGELES, CA 90027
Los Angeles County (323) 783-4011

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 Mary Wilson's NPI number?

The NPI number for Mary Wilson is 1609935204. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Mary Wilson located?

Mary Wilson practices at 4760 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 783-4011.

What is Mary Wilson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

When was this NPI record last updated?

The NPPES record for Mary Wilson was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.