Individual provider · Type 1 NPI
Benjamin Stuart Wilbur, MD
General Practice Physician · Los Angeles, CA
NPI number
1790758613
Active
Practice location
1155 North Vermont Ave, Suite 200
Los Angeles, CA 90029-1728
Fax (323) 663-1723
Mailing address
12762 Limonite Ave, #3E-235
Eastvale, CA 92880-4208
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | A92956 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1790758613
Benjamin Stuart Wilbur, MD's National Provider Identifier is 1790758613, issued on Feb 10, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 13, 2012.