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

Bobby Dean Wilson

Individual provider Community Health Worker · NPI 1558935742

Bobby Dean Wilson is a Community Health Worker in Los Angeles, California. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

729 W Manchester Ave
Los Angeles, CA 90044-5720
Phone: (323) 814-9100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1558935742
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 13, 2021
Last updated in NPPESMay 13, 2021
Certification dateMay 13, 2021

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