| Total Wound Care And Health Care Inc | |
|
11210 Lower Azusa Rd El Monte CA 91731-1412 | |
| (747) 297-5066 | |
| Not Available |
| Full Name | Total Wound Care And Health Care Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 11210 Lower Azusa Rd, El Monte, California |
| Authorized Official Name and Position | Chuong Vu (PRESIDENT) |
| Authorized Official Contact | 7472975066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Wound Care And Health Care Inc 21700 Golden Triangle Rd Ste 203 Santa Clarita CA 91350-2952 Ph: (747) 297-5066 | Total Wound Care And Health Care Inc 11210 Lower Azusa Rd El Monte CA 91731-1412 Ph: (747) 297-5066 |
| NPI Number | 1225744543 |
|---|---|
| Provider Enumeration Date | 01/30/2023 |
| Last Update Date | 01/30/2023 |
| Medicare PECOS PAC ID | 2365809787 |
|---|---|
| Medicare Enrollment ID | O20230530003350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225744543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
| Provider Name | Hoang-chuong Vu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922135086 PECOS PAC ID: 7113026683 Enrollment ID: I20070625000225 |
| Provider Name | Melanie D Suljada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154986743 PECOS PAC ID: 4385977826 Enrollment ID: I20190614001291 |
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