| Wound Away | |
|
14525 Valley View Ave Ste E Santa Fe Springs CA 90670-5237 | |
| (714) 457-9905 | |
| Not Available |
| Full Name | Wound Away |
|---|---|
| Speciality | Clinic/Center |
| Location | 14525 Valley View Ave Ste E, Santa Fe Springs, California |
| Authorized Official Name and Position | Jessica Carol-macias Wong (PRESIDENT) |
| Authorized Official Contact | 7144579905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Away 14525 Valley View Ave Ste E Santa Fe Springs CA 90670-5237 Ph: (714) 457-9905 | Wound Away 14525 Valley View Ave Ste E Santa Fe Springs CA 90670-5237 Ph: (714) 457-9905 |
| NPI Number | 1205671773 |
|---|---|
| Provider Enumeration Date | 06/27/2024 |
| Last Update Date | 06/01/2026 |
| Medicare PECOS PAC ID | 7012455306 |
|---|---|
| Medicare Enrollment ID | O20240819000074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205671773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Andrea Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700341427 PECOS PAC ID: 2062883945 Enrollment ID: I20230201001496 |
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