1871319046 NPI number — WOUND SOLUTIONS OF CALIFORNIA

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871319046 NPI number — WOUND SOLUTIONS OF CALIFORNIA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WOUND SOLUTIONS OF CALIFORNIA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871319046
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13950 MILTON AVENUE
Provider Second Line Business Mailing Address:
SUITE 400B
Provider Business Mailing Address City Name:
WESTMINSTER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92683
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-959-9280
Provider Business Mailing Address Fax Number:
888-544-9379

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
13950 MILTON AVENUE
Provider Second Line Business Practice Location Address:
SUITE 400B
Provider Business Practice Location Address City Name:
WESTMINSTER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-959-9280
Provider Business Practice Location Address Fax Number:
888-544-9379
Provider Enumeration Date:
12/03/2024

Additional Information

Authorized Official

Authorized Official Last Name:
SICKING
Authorized Official First Name:
KAITLIN
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATIVE COORDINATOR
Authorized Official Telephone Number:
925-324-3906

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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