Professional Wound Care Services

LBN: Andrea D. Anderson, Md., Inc.
Professional Wound Care Services is an health care organization with primary practice located at 2815 S Main St #215, Corona CA 92882-2531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Andrea D. Anderson, Md., Inc. can be contacted via phone (951) 493-1995, or through Robinson, Malcolm via phone (951) 493-1992.

Contact Information

Primary practice address
2815 S Main St #215 Corona CA 92882-2531
Fax: (951) 493-6699
Website:
Authorized official contact:
Name: Robinson, Malcolm Bachelor of Arts (BA)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A90631 California

Profile Details

NPI number 1508139676
LBN Legal business name Andrea D. Anderson, Md., Inc.
DBA Doing business as Professional Wound Care Services
Authorized official Robinson, Malcolm Bachelor of Arts (BA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2012
Last updated Feb 20th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508139676 NPPES
California Other DM992A MEDICARE PTAN #

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