| California Wound Healing Medical Group Inc. | |
|
100 E Huntington Dr Ste 209, Alhambra, CA 91801-1022 | |
| (323) 264-7796 | |
| Not Available |
| Full Name | California Wound Healing Medical Group Inc. |
|---|---|
| Type | Facility |
| Speciality | Physician Assistant - Surgical |
| Location | 100 E Huntington Dr Ste 209, Alhambra, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235333972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E2446 (California) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA18760 (California) | Primary |
| Provider Name | Joseph A Addiego |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902907835 PECOS PAC ID: 0244290278 Enrollment ID: I20041015000357 |
| Provider Name | Steve M Tung |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013060847 PECOS PAC ID: 1850310459 Enrollment ID: I20070301000116 |
| Provider Name | Geraldine L Harvey-leonard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780713487 PECOS PAC ID: 4385825306 Enrollment ID: I20110224000283 |
| Provider Name | Shazhou Luo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407136617 PECOS PAC ID: 9537336953 Enrollment ID: I20120125000275 |
| Provider Name | Puja Neupane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629325105 PECOS PAC ID: 9234374745 Enrollment ID: I20130403000255 |
| Provider Name | Carlo Magno G Yoshisaki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164837092 PECOS PAC ID: 5193946242 Enrollment ID: I20141015000783 |
| Provider Name | Mariam Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619370194 PECOS PAC ID: 6800118431 Enrollment ID: I20141209001793 |
| Provider Name | Fatimah Z Harvey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053727982 PECOS PAC ID: 8729200522 Enrollment ID: I20150604002477 |
| Provider Name | Kimberly Elyse Conley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164665550 PECOS PAC ID: 3375803463 Enrollment ID: I20180209002335 |
| Provider Name | Aram Harijan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1851528137 PECOS PAC ID: 0840541553 Enrollment ID: I20180919002090 |
| Provider Name | Carol Thuy Trang Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861903627 PECOS PAC ID: 2567700453 Enrollment ID: I20190219003268 |
| Provider Name | Regina W Speights |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982055430 PECOS PAC ID: 2163716077 Enrollment ID: I20190502002739 |
| Provider Name | Angely L Cambray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629629985 PECOS PAC ID: 1850729450 Enrollment ID: I20200313001200 |
| Provider Name | Marlon H Carpio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407318314 PECOS PAC ID: 1456780782 Enrollment ID: I20200407001877 |
| Provider Name | Elma Khechemyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962022319 PECOS PAC ID: 8628345576 Enrollment ID: I20200702001401 |
| Provider Name | Jonas F Obispo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699350074 PECOS PAC ID: 2668874470 Enrollment ID: I20210715001325 |
| Provider Name | My Van Luu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598383689 PECOS PAC ID: 8921496910 Enrollment ID: I20211025000764 |
| Provider Name | Greta Wangania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760008452 PECOS PAC ID: 8921496514 Enrollment ID: I20211101002775 |
| Provider Name | Merry G Conserman-gayos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700556347 PECOS PAC ID: 4789073826 Enrollment ID: I20211111001589 |
| Provider Name | Joann Strang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760698575 PECOS PAC ID: 1658765847 Enrollment ID: I20220304000646 |
| Provider Name | Rajdeep Sandhu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013473073 PECOS PAC ID: 0143604694 Enrollment ID: I20220831003612 |
| Provider Name | Jeffrey L Halperin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841752649 PECOS PAC ID: 6901238435 Enrollment ID: I20230124002682 |
| Provider Name | Paul Kyung Cho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487374773 PECOS PAC ID: 0941672448 Enrollment ID: I20230209001818 |
| Provider Name | Tamara Sue Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569567 PECOS PAC ID: 8628422532 Enrollment ID: I20231012000085 |
| Provider Name | Estrella Montes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992315865 PECOS PAC ID: 6305294026 Enrollment ID: I20231118000363 |
| Provider Name | Katherine T. Nguyen-cluck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215707898 PECOS PAC ID: 2264871722 Enrollment ID: I20240416003575 |
| Provider Name | Ruth Ramirez Cose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710766704 PECOS PAC ID: 0648619049 Enrollment ID: I20240418001054 |
| Provider Name | Courtenay L Juliano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104692425 PECOS PAC ID: 7416492764 Enrollment ID: I20240711001630 |
| Provider Name | Brenda Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922780667 PECOS PAC ID: 7214473412 Enrollment ID: I20240724001780 |
| Provider Name | Sylvia M Solares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336482744 PECOS PAC ID: 9931632205 Enrollment ID: I20241024002401 |
| Provider Name | Yusleydys Panade Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003652579 PECOS PAC ID: 2062945371 Enrollment ID: I20241024004152 |
| Provider Name | Erica Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356162804 PECOS PAC ID: 2769916469 Enrollment ID: I20241115003941 |
| Provider Name | Soliel Nevien Omega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780422246 PECOS PAC ID: 1052848835 Enrollment ID: I20241217004007 |
| Provider Name | Ashika Sami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548099922 PECOS PAC ID: 5092245662 Enrollment ID: I20250212000253 |
| Provider Name | Taylor Brocato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497594428 PECOS PAC ID: 1254861768 Enrollment ID: I20250213001729 |
| Provider Name | Cyryl R Celiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922612126 PECOS PAC ID: 0648794412 Enrollment ID: I20250414002636 |
| Provider Name | Diana Karihe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467911495 PECOS PAC ID: 2668713108 Enrollment ID: I20250424000961 |
| Mailing Address | Practice Location Address |
|---|---|
| California Wound Healing Medical Group Inc. P O Box 2589, San Gabriel, CA 91778-2589 Ph: () - | California Wound Healing Medical Group Inc. 100 E Huntington Dr Ste 209, Alhambra, CA 91801-1022 Ph: (323) 264-7796 |