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

Samuel L. Wilson, MD, Inc

Organization Psychiatry Physician · NPI 1962761668

Samuel L. Wilson, MD, Inc is a Psychiatry Physician in Santa Monica, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
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

1137 2nd St Ste 111
Santa Monica, CA 90403-5011
Phone: (310) 395-9590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A21662 (CA)

Record details

NPI number1962761668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Wilson — Solo Practitioner · (310) 395-9590
NPI enumeratedMay 15, 2012
Last updated in NPPESMay 15, 2012
Mailing address1137 2nd St, Suite 111, Santa Monica, CA 90403-5011

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