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

Scott William Wilson

Individual provider Case Manager/Care Coordinator · NPI 1306376629

Scott William Wilson is a Case Manager/Care Coordinator in San Pedro, California. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1891 N Gaffey St Ste 219 & 221
San Pedro, CA 90036
Phone: (424) 570-0241
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1306376629
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 21, 2022

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