Matthew James Wild, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner in Los Angeles, CA. Matthew James Wild, NURSE PRACTITIONER NPI is 1295351757. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
954 N VERMONT AVE
LOS ANGELES, CA
ZIP 90029-529
Phone: (562) 867-7999
The NPI 1295351757 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 6/22/2020 and was last updated on 8/30/2023.