| Precision Wound Clinicians Inc | |
|
18064 Wika Rd Ste 103 Apple Valley CA 92307-2182 | |
| (951) 500-3801 | |
| Not Available |
| Full Name | Precision Wound Clinicians Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 18064 Wika Rd Ste 103, Apple Valley, California |
| Authorized Official Name and Position | Lloydette Brewah (PRACTICE OWNER) |
| Authorized Official Contact | 9515003801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Precision Wound Clinicians Inc 18064 Wika Rd Ste 103 Apple Valley CA 92307-2182 Ph: (951) 500-3801 | Precision Wound Clinicians Inc 18064 Wika Rd Ste 103 Apple Valley CA 92307-2182 Ph: (951) 500-3801 |
| NPI Number | 1588557524 |
|---|---|
| Provider Enumeration Date | 05/29/2025 |
| Last Update Date | 09/05/2026 |
| Certification Date | 09/05/2026 |
| Medicare PECOS PAC ID | 9739697210 |
|---|---|
| Medicare Enrollment ID | O20250805002879 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588557524 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | () | Secondary |
| Provider Name | Lloydette Brewah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053770008 PECOS PAC ID: 2264722586 Enrollment ID: I20160527000880 |
| Provider Name | Salvador Basbas Villalon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538583901 PECOS PAC ID: 1254703127 Enrollment ID: I20230202003252 |
| Provider Name | Saffie Bangura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487299673 PECOS PAC ID: 2860896990 Enrollment ID: I20250128003586 |
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