| Onsite Wound Solution | |
|
35 N Lake Ave Ste 710 Pasadena CA 91101-4185 | |
| (424) 202-0838 | |
| Not Available |
| Full Name | Onsite Wound Solution |
|---|---|
| Speciality | Clinic/Center |
| Location | 35 N Lake Ave Ste 710, Pasadena, California |
| Authorized Official Name and Position | Asuka Burke (CEO) |
| Authorized Official Contact | 4242020838 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Onsite Wound Solution 35 N Lake Ave Ste 710 Pasadena CA 91101-4185 | Onsite Wound Solution 35 N Lake Ave Ste 710 Pasadena CA 91101-4185 Ph: (424) 202-0838 |
| NPI Number | 1396625661 |
|---|---|
| Provider Enumeration Date | 09/05/2025 |
| Last Update Date | 09/05/2025 |
| Certification Date | 09/05/2025 |
| Medicare PECOS PAC ID | 3577050343 |
|---|---|
| Medicare Enrollment ID | O20251015001045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396625661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Vicrumdeep S Tung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891163499 PECOS PAC ID: 8224312616 Enrollment ID: I20170302002204 |
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