Wound Away | |
15024 Imperial Hwy La Mirada CA 90638-1301 | |
(714) 457-9905 | |
Not Available |
Full Name | Wound Away |
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Speciality | Clinic/Center |
Location | 15024 Imperial Hwy, La Mirada, 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 |
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Wound Away 15024 Imperial Hwy La Mirada CA 90638-1301 Ph: (714) 457-9905 | Wound Away 15024 Imperial Hwy La Mirada CA 90638-1301 Ph: (714) 457-9905 |
NPI Number | 1205671773 |
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Provider Enumeration Date | 06/27/2024 |
Last Update Date | 06/27/2024 |
Medicare PECOS PAC ID | 7012455306 |
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Medicare Enrollment ID | O20240819000074 |
Identifier | Type | State | Issuer |
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1205671773 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Andrea Vasquez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700341427 PECOS PAC ID: 2062883945 Enrollment ID: I20230201001496 |
Austin & Vatave Md's Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12675 La Mirada Blvd, Suite #300, La Mirada, CA 90638 Phone: 562-944-8054 Fax: 562-946-5324 | |
Southern California Specialty Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Imperial Hwy, La Mirada, CA 90638 Phone: 562-944-1900 Fax: 562-906-3455 | |
Peter H. Sim, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14900 Imperial Hwy, La Mirada, CA 90638 Phone: 213-388-2232 | |
Imperial Primary Care Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15625 Imperial Hwy, La Mirada, CA 90638 Phone: 562-902-3000 Fax: 562-902-9563 | |