Wound Care Professionals
Family Medicine in Fullerton, CA. Organization (NPI-2).
NPI number1619702156
StatusActive
Last updated in NPPESSep 4, 2024
Details
- NPI
- 1619702156
- Entity type
- Organization (NPI-2)
- Legal business name
- Wound Care Professionals
- Organization subpart
- No
- Enumeration date
- Sep 4, 2024
- Certification date
- Sep 4, 2024
- Last updated
- Sep 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
2461 E Orangethorpe Ave Ste 227Fullerton, CA 92831-5302
Phone 657-366-1114
Mailing address
10 Shady Cove CtAzusa, CA 91702-6258
Phone 657-366-1114
Authorized official
Cyril Macapagal
Manager
6573661114
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