Pacific Wound Center Medical Group, Inc. in Stockton - Cardiovascular Disease
Pacific Wound Center Medical Group, Inc. - NPI 1659399202
Pacific Wound Center Medical Group, Inc. is a Cardiovascular Disease in Stockton, California. Pacific Wound Center Medical Group, Inc. practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Pacific Wound Center Medical Group, Inc. is 1659399202. The last update date is 2015-11-23.
Pacific Wound Center Medical Group, Inc.'s current location address is 4722 Quail Lakes Dr, Stockton, California. You can contact this provider via phone number 2094760675 and fax number 2094769389. The mailing address for Pacific Wound Center Medical Group, Inc. is 4722 Quail Lakes Dr, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Wound Center Medical Group, Inc. |
|---|---|
| Address | 4722 Quail Lakes Dr, Stockton, California |
| Phone Number | 2094760675 |
| Fax Number | 2094769389 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/AUTH |
|---|---|
| Authorized Official Name | Mcdonald D. William |
| Credentials | D.P.M. |
| Telephone Number | 2094760675 |
NPI Number Detail
| NPI Number | 1659399202 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2015-11-23 |
Provider Mailing Address Detail
| Address | 4722 Quail Lakes Dr |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952075256 |
| Phone Number | 2094760675 |
| Fax Number | 2094769389 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | A31110 |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ07794Z | CA | BLUE SHIELD | |
| ZZZ07794Z | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Pacific Wound Center Medical Group, Inc. by the Centers for Medicare & Medicaid Services?
The Pacific Wound Center Medical Group, Inc. has been issued the NPI (National Provider Identifier) 1659399202, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pacific Wound Center Medical Group, Inc.'s facilities are situated?
The facilities of Pacific Wound Center Medical Group, Inc. are physically located at the following address: 4722 Quail Lakes Dr, Stockton, CA, 952075256.
What is Pacific Wound Center Medical Group, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pacific Wound Center Medical Group, Inc. is Cardiovascular Disease, and the corresponding taxonomy classification code for this specialized field is 207Rc0000X.
On what date did Pacific Wound Center Medical Group, Inc. receive its 1659399202 assignment from the Centers for Medicare & Medicaid Services?
The Pacific Wound Center Medical Group, Inc. was assigned its 1659399202 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Pacific Wound Center Medical Group, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pacific Wound Center Medical Group, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-11-23.