Cory Wilson

Case Manager/Care Coordinator · Corona, CA

Individual Active NPI

NPI number 1073630448

Practice location

2275 S Main St Ste 201
Corona, CA 92882-5303
Phone
(951) 279-1333

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NPI record

NPI
1073630448
Entity type
Individual (Type 1)
Enumeration date
March 23, 2007
Last updated
September 27, 2023
Certified
September 27, 2023
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Mental Health Counselor 101YM0800X — —

Mailing address

41009 Chambord Dr
Lake Elsinore, CA 92532-1533

Other practice locations (1)

  • 2930 Inland Empire Blvd Ste 120, Ontario, CA 91764-4802 · (909) 980-6700

About Cory Wilson

Cory Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 2275 S Main St Ste 201, Corona, CA 92882-5303. The NPI number 1073630448 was assigned on March 23, 2007 and the record was last updated on September 27, 2023.

Frequently asked questions

What is the NPI number of Cory Wilson?

The NPI number is 1073630448.

What is the phone number of Cory Wilson?

The phone number listed for the practice location is (951) 279-1333.

Where is Cory Wilson located?

2275 S Main St Ste 201, Corona, CA 92882-5303.

What is the taxonomy code for Cory Wilson?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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