Organization · Type 2 NPI

Moderm Wound Care Specialist LLC

General Practice Physician · San Jacinto, CA

NPI number 1538043211 Active

Practice location

2263 Finch Cir
San Jacinto, CA 92582-6964

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XNone listed
Nurse Practitioner 363L00000XNone listed

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1538043211

Moderm Wound Care Specialist LLC's National Provider Identifier is 1538043211, issued on Aug 4, 2025. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in San Jacinto, CA. The record was last updated on Aug 4, 2025.