Wound Docs, A.p.c. | |
1703 Termino Ave Ste 106 Long Beach CA 90804-2126 | |
(610) 505-9702 | |
Not Available |
Full Name | Wound Docs, A.p.c. |
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Speciality | Surgery |
Location | 1703 Termino Ave Ste 106, Long Beach, California |
Authorized Official Name and Position | Kevin Jackson (CEO) |
Authorized Official Contact | 6105059702 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wound Docs, A.p.c. 25044 Peachland Ave Ste 110 Newhall CA 91321-5730 Ph: (844) 960-2673 | Wound Docs, A.p.c. 1703 Termino Ave Ste 106 Long Beach CA 90804-2126 Ph: (610) 505-9702 |
NPI Number | 1629891676 |
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Provider Enumeration Date | 11/06/2024 |
Last Update Date | 04/12/2025 |
Medicare PECOS PAC ID | 2860928629 |
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Medicare Enrollment ID | O20241204001651 |
Identifier | Type | State | Issuer |
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1629891676 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208600000X | Surgery | (* (Not Available)) | Primary |
Provider Name | Mahwash Hirmendi |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073576765 PECOS PAC ID: 0648372904 Enrollment ID: I20070216000664 |
Provider Name | David L Vannix |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1013084979 PECOS PAC ID: 0648327122 Enrollment ID: I20090421000245 |
Provider Name | Michael S Tehrani |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427320704 PECOS PAC ID: 6002031572 Enrollment ID: I20140626000844 |
Provider Name | Ari R Youderian |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1083818173 PECOS PAC ID: 9537330527 Enrollment ID: I20140912001780 |
Provider Name | Michael Ginn Griesinger |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1336556604 PECOS PAC ID: 0547507378 Enrollment ID: I20190131002129 |
Provider Name | Maria Angela Garciano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073190443 PECOS PAC ID: 3870968688 Enrollment ID: I20230410001664 |
Provider Name | Luke Jacob L Narciso |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528874401 PECOS PAC ID: 4688102262 Enrollment ID: I20250109003212 |
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