| Wound Care First Corp | |
|
1100 E Orangethorpe Ave Ste 200x Anaheim CA 92801-1144 | |
| (657) 900-4138 | |
| Not Available |
| Full Name | Wound Care First Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 E Orangethorpe Ave Ste 200x, Anaheim, California |
| Authorized Official Name and Position | Richard Keech (CEO) |
| Authorized Official Contact | 7144760435 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care First Corp 1100 E Orangethorpe Ave Ste 200x Anaheim CA 92801-1144 Ph: (657) 900-4138 | Wound Care First Corp 1100 E Orangethorpe Ave Ste 200x Anaheim CA 92801-1144 Ph: (657) 900-4138 |
| NPI Number | 1316829369 |
|---|---|
| Provider Enumeration Date | 07/22/2025 |
| Last Update Date | 07/22/2025 |
| Certification Date | 07/22/2025 |
| Medicare PECOS PAC ID | 1850884289 |
|---|---|
| Medicare Enrollment ID | O20251204000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316829369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Richard Charles Keech |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487748364 PECOS PAC ID: 8123013745 Enrollment ID: I20040414001824 |
| Provider Name | Jaylene T Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1720542665 PECOS PAC ID: 9830430198 Enrollment ID: I20190415000887 |
| Provider Name | Favour C Olekanma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205415353 PECOS PAC ID: 8022418607 Enrollment ID: I20210618001214 |
| Provider Name | Nadia Tavakkoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477230225 PECOS PAC ID: 8123475779 Enrollment ID: I20231103001936 |
| Provider Name | Jennifer Dagdag Flor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720829195 PECOS PAC ID: 5991230682 Enrollment ID: I20241118002913 |
| Provider Name | Ann Marielle Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790520765 PECOS PAC ID: 1951836659 Enrollment ID: I20241118003497 |
| Provider Name | Sarah Lay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225848476 PECOS PAC ID: 7618497611 Enrollment ID: I20250220002747 |
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