| Skintegrity Wound Care | |
|
17919 Mackeson Ct Carson CA 90746-1629 | |
| (310) 644-8302 | |
| Not Available |
| Full Name | Skintegrity Wound Care |
|---|---|
| Speciality | Family Medicine |
| Location | 17919 Mackeson Ct, Carson, California |
| Authorized Official Name and Position | Henry Pekun (CFO) |
| Authorized Official Contact | 3108775368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Skintegrity Wound Care 17919 Mackeson Ct Carson CA 90746-1629 Ph: (310) 644-8302 | Skintegrity Wound Care 17919 Mackeson Ct Carson CA 90746-1629 Ph: (310) 644-8302 |
| NPI Number | 1427932938 |
|---|---|
| Provider Enumeration Date | 08/05/2025 |
| Last Update Date | 08/05/2025 |
| Certification Date | 08/05/2025 |
| Medicare PECOS PAC ID | 4385134188 |
|---|---|
| Medicare Enrollment ID | O20251110002053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427932938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Njideka L Akubuilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871172445 PECOS PAC ID: 1355735424 Enrollment ID: I20220307001478 |
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