Turlock Wound Care INC
Surgery in Turlock, CA. Organization (NPI-2).
NPI number1164035101
StatusActive
Last updated in NPPESOct 15, 2021
Details
- NPI
- 1164035101
- Entity type
- Organization (NPI-2)
- Legal business name
- Turlock Wound Care INC
- Organization subpart
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Oct 15, 2021
- Last updated
- Oct 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – | |
| 213E00000X | Podiatrist | – | – | |
| 363A00000X | Physician Assistant | – | – |
Practice location
2150 Colorado AveTurlock, CA 95382-2003
Phone 209-656-0183
Mailing address
2150 Colorado AveTurlock, CA 95382-2003
Phone 209-656-0183
Authorized official
Huy Ngoc Dao
Owner
2096560183
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