Advanced Wound And Surgical Management

Preventive Medicine, Undersea and Hyperbaric Medicine in Bakersfield, CA. Organization (NPI-2).

NPI number1669603296

StatusActive

Last updated in NPPESApr 1, 2020

Details

NPI: 1669603296
Entity type: Organization (NPI-2)
Legal business name: Advanced Wound And Surgical Management
Organization subpart: Yes
Enumeration date: Jul 30, 2009
Certification date: Apr 1, 2020
Last updated: Apr 1, 2020

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2083P0011X	Preventive Medicine, Undersea and Hyperbaric Medicine	A63639	CA	Yes
2086S0122X	Surgery, Plastic and Reconstructive Surgery	–	–
207R00000X	Internal Medicine	–	–
208200000X	Plastic Surgery	–	–
261QM1300X	Clinic/Center, Multi-Specialty	–	–
332B00000X	Durable Medical Equipment & Medical Supplies	–	–

Practice location

2901 Sillect Ave
Suite 201
Bakersfield, CA 93308-6371

Phone 661-327-2101 · Fax 661-327-2554

Mailing address

2901 Sillect Ave
Suite 201
Bakersfield, CA 93308-6371

Phone 661-327-2101 · Fax 661-327-2554

Authorized official

Vipul Raman Dev
Ceo
6613272101

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