Organization · Type 2 NPI
Mobile Wound Care-San Diego ND
Medical Physician Assistant · Chula Vista, CA
NPI number
1295273639
Active
Practice location
1415 Santa Diana Rd
Chula Vista, CA 91913-2745
Mailing address
1415 Santa Diana Rd Unit 9
Chula Vista, CA 91913-2745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 54015 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1295273639
Mobile Wound Care-San Diego ND's National Provider Identifier is 1295273639, issued on Feb 6, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chula Vista, CA. The record was last updated on Feb 7, 2017.