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LIBBY FLEISCHER WILSON M.D. NPI 1568405546


NPI Information

NPI: 1568405546
Provider Name: LIBBY FLEISCHER WILSON, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
403 W. ADAMS BLVD.
LOS ANGELES, CA
ZIP 90007
Phone: (213) 742-1433
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Libby Fleischer Wilson, M.D. is a plastic and reconstructive surgery surgery in Los Angeles, CA with 25 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. Libby Fleischer Wilson, M.D. NPI is 1568405546. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: MEDICAL COLLEGE OF PENNSYLVANIA
Graduation Year:1999

The provider's business location address is:

403 W. ADAMS BLVD.
LOS ANGELES, CA
ZIP 90007-664
Phone: (213) 742-1433
Fax: (213) 742-1496

The NPI 1568405546 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 1/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistG18778CALIFORNIANo
2208200000XPlastic SurgeryG18778CALIFORNIANo
32086S0122XSurgeryPlastic and Reconstructive SurgeryG18778CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100G187780MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.