| Integrity Wound Services, Inc. | |
|
980 W 6th St Ste 106 Ontario CA 91762-1210 | |
| (747) 203-3788 | |
| Not Available |
| Full Name | Integrity Wound Services, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 980 W 6th St Ste 106, Ontario, California |
| Authorized Official Name and Position | Artak Soghomonyan (PRESIDENT) |
| Authorized Official Contact | 7472033788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Wound Services, Inc. 980 W 6th St Ste 106 Ontario CA 91762-1210 Ph: (747) 203-3788 | Integrity Wound Services, Inc. 980 W 6th St Ste 106 Ontario CA 91762-1210 Ph: (747) 203-3788 |
| NPI Number | 1518847318 |
|---|---|
| Provider Enumeration Date | 09/03/2025 |
| Last Update Date | 09/04/2025 |
| Certification Date | 09/04/2025 |
| Medicare PECOS PAC ID | 9234620147 |
|---|---|
| Medicare Enrollment ID | O20251118002415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518847318 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | L Lee Nelson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407972656 PECOS PAC ID: 0840249553 Enrollment ID: I20050120000382 |
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