DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PACIFIC WOUND CENTER MEDICAL GROUP, INC.

Active Organization

PACIFIC WOUND CENTER MEDICAL GROUP, INC. is a Cardiovascular Disease organization located in STOCKTON, California. NPI 1659399202 is currently active in the NPPES registry. Verify at CMS.

Cardiovascular Disease · STOCKTON, CA

Registration Details

NPI Number
1659399202
Provider Type
Organization
NPI Issued
Jul 18, 2006 (20.103899813149 yrs)
Last Updated
Nov 23, 2015
Licenses
G74876 (CA)
E3287 (CA)
A31110 (CA)

Practice Information

Address
4722 QUAIL LAKES DR
SUITE A
STOCKTON, CA, 952075256
Browse CA providers · Browse ZIP 95207
Phone
2094760675
Fax
2094769389
Primary Specialty
Cardiovascular Disease
207RC0000X
Additional Specialty
Podiatrist
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.