| Wound Icons Inc | |
|
9087 Arrow Rte Ste 246 Rancho Cucamonga CA 91730-4488 | |
| (562) 824-5099 | |
| (909) 784-0617 |
| Full Name | Wound Icons Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 9087 Arrow Rte Ste 246, Rancho Cucamonga, California |
| Authorized Official Name and Position | Bernice Ivoko (ADMINISTRATOR) |
| Authorized Official Contact | 5628245099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Icons Inc 9087 Arrow Rte Ste 246 Rancho Cucamonga CA 91730-4488 Ph: (562) 824-5099 | Wound Icons Inc 9087 Arrow Rte Ste 246 Rancho Cucamonga CA 91730-4488 Ph: (562) 824-5099 |
| NPI Number | 1407681745 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407681745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Carlos R. Vigil, D.o. (a Professional Corporation) Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7974 Haven Ave, Suite 210, Rancho Cucamonga, CA 91730 Phone: 909-941-0661 Fax: 909-948-5577 | |
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