IndividualActive
Edward Wilson
NPI 1740668995 · Voluntary or Charitable Agency · Long Beach, CA
Provider details
- NPI number
- 1740668995
- Entity type
- Individual
- Primary specialty
- Voluntary or Charitable AgencyAgencies
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Agencies
Practice location
1955 Long Beach Blvd
Long Beach, CA 90806-5501
Phone: (562) 320-2426
Approximate (ZIP-level) locationGet directions
Mailing address
100 W Broadway
Long Beach, CA 90802-4431
Registry dates
- Enumerated
- 2015-05-08
- Last updated
- 2015-05-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.