LIBBY WILSON MD INC – NPI #1548659170
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

LIBBY WILSON MD INC is a surgeon located in LOS ANGELES, CA. NPPES has assigned the NPI number 1548659170 to LIBBY WILSON MD INC on January 20, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIBBY WILSON MD INC below.

NPI Profile for
LIBBY WILSON MD INC

NPI Number
1548659170
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIBBY WILSON MD INC
Primary location
403 W ADAMS BLVD
LOS ANGELES, CA 90007-2664
Phone: (213) 742-1433 Fax: (213) 742-1496
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LIBBY WILSON
PRESIDENT
Phone: (213) 742-1433
Updated
Identifiers

Identifiers for LIBBY WILSON MD INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCA00G187780
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)
CA G18778

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.