| Wound Care 360 Advanced Solutions Inc | |
|
196 Coral Cove Way Encinitas CA 92024-1593 | |
| (760) 286-7826 | |
| (909) 697-4013 |
| Full Name | Wound Care 360 Advanced Solutions Inc |
|---|---|
| Speciality | General Practice |
| Location | 196 Coral Cove Way, Encinitas, California |
| Authorized Official Name and Position | Hugo Spinoza (OWNER) |
| Authorized Official Contact | 8177761670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care 360 Advanced Solutions Inc 196 Coral Cove Way Encinitas CA 92024-1593 Ph: (760) 286-7826 | Wound Care 360 Advanced Solutions Inc 196 Coral Cove Way Encinitas CA 92024-1593 Ph: (760) 286-7826 |
| NPI Number | 1942012539 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Medicare PECOS PAC ID | 2769912906 |
|---|---|
| Medicare Enrollment ID | O20250204000761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942012539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Shuja Ayouby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134784655 PECOS PAC ID: 6709250756 Enrollment ID: I20230315000807 |
| Provider Name | Tamara Sue Pippin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508569567 PECOS PAC ID: 8628422532 Enrollment ID: I20231012000085 |
| Provider Name | Diana Escobar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447866173 PECOS PAC ID: 3870023179 Enrollment ID: I20250214002063 |
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