| Wound Care Healing Agency Inc | |
|
2500 E Foothill Blvd Ste 512 Pasadena CA 91107-7126 | |
| (626) 714-7080 | |
| (626) 714-7080 |
| Full Name | Wound Care Healing Agency Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2500 E Foothill Blvd Ste 512, Pasadena, California |
| Authorized Official Name and Position | Nehal Patel (PRESIDENT) |
| Authorized Official Contact | 6267147080 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Healing Agency Inc 2500 E Foothill Blvd Ste 512 Pasadena CA 91107-7126 Ph: (626) 714-7080 | Wound Care Healing Agency Inc 2500 E Foothill Blvd Ste 512 Pasadena CA 91107-7126 Ph: (626) 714-7080 |
| NPI Number | 1114791746 |
|---|---|
| Provider Enumeration Date | 11/14/2023 |
| Last Update Date | 11/14/2023 |
| Medicare PECOS PAC ID | 8628421955 |
|---|---|
| Medicare Enrollment ID | O20240201004546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114791746 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nehal Gordhan Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174694079 PECOS PAC ID: 2769671056 Enrollment ID: I20110119000052 |
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