| Compassionate Wound Care Inc | |
|
402 Rockefeller Unit 407 Irvine CA 92612-8107 | |
| (949) 294-9373 | |
| Not Available |
| Full Name | Compassionate Wound Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 402 Rockefeller Unit 407, Irvine, California |
| Authorized Official Name and Position | Sundeep Pandhoh (CEO) |
| Authorized Official Contact | 9492949373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Wound Care Inc 402 Rockefeller Unit 407 Irvine CA 92612-8107 Ph: (949) 294-9373 | Compassionate Wound Care Inc 402 Rockefeller Unit 407 Irvine CA 92612-8107 Ph: (949) 294-9373 |
| NPI Number | 1063295996 |
|---|---|
| Provider Enumeration Date | 08/15/2023 |
| Last Update Date | 08/16/2023 |
| Certification Date | 08/16/2023 |
| Medicare PECOS PAC ID | 4880125954 |
|---|---|
| Medicare Enrollment ID | O20240930002705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063295996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Parag Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083689129 PECOS PAC ID: 6901877968 Enrollment ID: I20070111000654 |
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