Individual provider · Type 1 NPI

Sophia Wilson

Student in an Organized Health Care Education/Training Program · Buena Park, CA

NPI number 1487532255 Active

Practice location

6301 Beach Blvd Ste 25
Buena Park, CA 90621-2840

Call (714) 736-0231 Map

Mailing address

6301 Beach Blvd Ste 245
Buena Park, CA 90621-4031

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487532255

Sophia Wilson's National Provider Identifier is 1487532255, issued on Aug 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Buena Park, CA. The record was last updated on Aug 21, 2025.