# KENNETH REHM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Diabetic Foot & Wound MGMT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508041575
- **Authorized official:** DR. KENNETH BRUCE REHM DPM (OWNER)
- **Authorized official phone:** (760) 744-6226

## Contact information

- **Practice address:** 1553 GRAND AVE, SAN MARCOS, CA 92078-2427
- **Practice address phone:** (760) 744-6226
- **Practice address fax:** (760) 744-6277
- **Mailing address:** 1553 GRAND AVE, SAN MARCOS, CA 92078-2427
- **Mailing address phone:** (760) 744-6226
- **Mailing address fax:** (760) 744-6277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |

## Other

- **Enumeration date:** 01/08/2008
- **Last updated:** 06/12/2009