Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Libby Wilson MD Inc

Organization Plastic and Reconstructive Surgery Physician · NPI 1548659170

Libby Wilson MD Inc is a Plastic and Reconstructive Surgery Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

403 W Adams Blvd
Los Angeles, CA 90007-2664
Phone: (213) 742-1433
Fax: (213) 742-1496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic and Reconstructive Surgery Physician (primary) Taxonomy 2086S0122X · Licence G18778 (CA)

Record details

NPI number1548659170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Libby Wilson — President · (213) 742-1433
NPI enumeratedJanuary 20, 2015
Last updated in NPPESJanuary 20, 2015
Mailing address403 W Adams Blvd, Los Angeles, CA 90007-2664

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