| Caring Hands Wound Care | |
|
502 W Route 66 Ste 22b Glendora CA 91740-4343 | |
| (323) 578-4569 | |
| Not Available |
| Full Name | Caring Hands Wound Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 W Route 66 Ste 22b, Glendora, California |
| Authorized Official Name and Position | Alexander Grigoryan (CEP) |
| Authorized Official Contact | 3235784569 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caring Hands Wound Care 502 W Route 66 Ste 22b Glendora CA 91740-4343 Ph: (323) 578-4569 | Caring Hands Wound Care 502 W Route 66 Ste 22b Glendora CA 91740-4343 Ph: (323) 578-4569 |
| NPI Number | 1871317081 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Certification Date | 11/13/2024 |
| Medicare PECOS PAC ID | 4981124526 |
|---|---|
| Medicare Enrollment ID | O20250226000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871317081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Samantha Camille De La Cruz Kasingsing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477349363 PECOS PAC ID: 7517474695 Enrollment ID: I20250724003938 |
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