Advanced Wound Care, INC
Surgery in San Diego, CA. Organization (NPI-2).
NPI number1720475148
StatusActive
Last updated in NPPESApr 23, 2015
Details
- NPI
- 1720475148
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Wound Care, INC
- Organization subpart
- No
- Enumeration date
- Apr 23, 2015
- Last updated
- Apr 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | A20244 | CA | Yes |
Practice location
5124 Bloch StSan Diego, CA 92122-4005
Phone 619-461-1898
Mailing address
5124 Bloch StSan Diego, CA 92122-4005
Phone 619-461-1898
Authorized official
Dennis Richmond
Provider/President
6194611898
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