IndividualActive
Thaddeus Wilson, M.D.
NPI 1184839896 · Pediatric Rehabilitation Medicine Physician · Loma Linda, CA
Provider details
- NPI number
- 1184839896
- Entity type
- Individual
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- A102261 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
11406 Loma Linda Dr
Physical Medicine and Rehabilitation
Loma Linda, CA 92354-3711
Phone: (909) 558-6275
Fax: (909) 558-6212
Approximate (ZIP-level) locationGet directions
Mailing address
11406 Loma Linda Drive
Loma Linda, CA 92354
Registry dates
- Enumerated
- 2007-05-14
- Last updated
- 2014-08-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.