| Integrated Wound Care and Support Services | |
|
803 Figueroa St Wilmington CA 90744-2300 | |
| (310) 830-0863 | |
| Not Available |
| Full Name | Integrated Wound Care and Support Services |
|---|---|
| Speciality | General Practice |
| Location | 803 Figueroa St, Wilmington, California |
| Authorized Official Name and Position | Timothy Collins (OWNER) |
| Authorized Official Contact | 3108300863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wound Care and Support Services 803 Figueroa St Wilmington CA 90744-2300 Ph: (310) 830-0863 | Integrated Wound Care and Support Services 803 Figueroa St Wilmington CA 90744-2300 Ph: (310) 830-0863 |
| NPI Number | 1285520296 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 07/01/2025 |
| Certification Date | 07/01/2025 |
| Medicare PECOS PAC ID | 9032619101 |
|---|---|
| Medicare Enrollment ID | O20250822002824 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285520296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Timothy Collins |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841334067 PECOS PAC ID: 3375697626 Enrollment ID: I20090820000451 |
| Provider Name | Lori L Martin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538159298 PECOS PAC ID: 4183884190 Enrollment ID: I20120329000273 |
| Provider Name | Kevin Foster |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184851545 PECOS PAC ID: 8224382213 Enrollment ID: I20181109001277 |
| Provider Name | Ijeoma Onyejiji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225630767 PECOS PAC ID: 2466869219 Enrollment ID: I20210324000624 |
| Provider Name | Matthew Ogbeide |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437680915 PECOS PAC ID: 4284905340 Enrollment ID: I20250228002429 |
| Provider Name | Sheila Ann Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518717982 PECOS PAC ID: 1658881925 Enrollment ID: I20250606001707 |
| Provider Name | Anh-thu L Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992509699 PECOS PAC ID: 3870008089 Enrollment ID: I20250716002092 |
| Provider Name | Timothy Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841334067 PECOS PAC ID: 3375697626 Enrollment ID: I20251016004671 |
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