| Sophia Rochelle Wilson, DNP, CRNA | |
|
4867 W Sunset Blvd, Los Angeles, CA 90027-5969 | |
| (276) 734-1219 | |
| Not Available |
| Full Name | Sophia Rochelle Wilson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 1 Years |
| Location | 4867 W Sunset Blvd, Los Angeles, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003681941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 95002549 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Sophia Rochelle Wilson, DNP, CRNA 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 Ph: () - | Sophia Rochelle Wilson, DNP, CRNA 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 Ph: (276) 734-1219 |
Glory Cabanilla Tancinco, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 234-622-2713 | |
Dr. Ernest Shmidt, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 6245 De Longpre Ave, Los Angeles, CA 90028 Phone: 323-462-2271 | |
Dr. Thiendang Viet Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1200 N State St, #14-901, Los Angeles, CA 90033 Phone: 323-409-7748 | |
Catherine Cha, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 757 Westwood Plz, Los Angeles, CA 90095 Phone: 310-825-8041 Fax: 310-267-3766 | |
Mariya Svilik, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz Ste 3325, Los Angeles, CA 90095 Phone: 310-267-8626 Fax: 310-267-3899 | |
Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794 | |
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061 |