Chad Wilde MD, A Medical Corporation
Anesthesiology, Pain Medicine in Simi Valley, CA. Organization (NPI-2).
NPI number1124182001
StatusActive
Last updated in NPPESSep 10, 2010
Details
- NPI
- 1124182001
- Entity type
- Organization (NPI-2)
- Legal business name
- Chad Wilde MD, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Dec 21, 2006
- Last updated
- Sep 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | A96633 | CA | Yes |
Other names
- Simi Pain Center (Doing Business As)
Practice location
1350 E Los Angeles AveSuite 3 A
Simi Valley, CA 93065-2898
Phone 805-504-4810
Mailing address
1350 E Los Angeles AveSuite 3 A
Simi Valley, CA 93065-2898
Phone 805-504-4810
Authorized official
Chad Wilde
President
8055044810
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