Individual ProviderMegan WilsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358(310) 267-7610PECOS EnrollmentBased on the most recent information from CMS, provider Megan Wilson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:47 AM.Profile DetailsProvider ID1760758676Provider TypeIndividualFull NameWilson, MeganGenderFemaleSole ProprietorNoEnumeration Date3/25/2012Last Updated3/25/2012Contact InformationPractice LocationPractice Address757 Westwood Plz, Los Angeles, CA 90095-8358Phone(310) 267-7610FaxUnlisted FaxMailing LocationMailing Address757 Westwood Plz, Los Angeles, CA 90095-8358PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense21085California