| Altius Wound Solutions Medical Group Inc | |
|
1055 E Colorado Blvd Fl 5 Pasadena CA 91106-2327 | |
| (213) 852-3357 | |
| Not Available |
| Full Name | Altius Wound Solutions Medical Group Inc |
|---|---|
| Speciality | Dermatology |
| Location | 1055 E Colorado Blvd Fl 5, Pasadena, California |
| Authorized Official Name and Position | Michael Silao (CEO) |
| Authorized Official Contact | 2138523357 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Altius Wound Solutions Medical Group Inc 1055 E Colorado Blvd Fl 5 Pasadena CA 91106-2327 Ph: (213) 852-3357 | Altius Wound Solutions Medical Group Inc 1055 E Colorado Blvd Fl 5 Pasadena CA 91106-2327 Ph: (213) 852-3357 |
| NPI Number | 1588472989 |
|---|---|
| Provider Enumeration Date | 12/19/2024 |
| Last Update Date | 12/19/2024 |
| Medicare PECOS PAC ID | 1355861030 |
|---|---|
| Medicare Enrollment ID | O20250225002192 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588472989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
| Provider Name | Michael Andrew Silao |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497706147 PECOS PAC ID: 3577500156 Enrollment ID: I20050414000903 |
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