# ADVANCED WOUND CARE AND AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528725280
- **Authorized official:** CHRISTINE MAC NP (PRESIDENT)
- **Authorized official phone:** (626) 203-9157

## Contact information

- **Practice address:** 11865 FIRESTONE BLVD, NORWALK, CA 90650-2902
- **Practice address phone:** (626) 203-9157
- **Mailing address:** 11865 FIRESTONE BLVD, NORWALK, CA 90650-2902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 11/17/2021
- **Last updated:** 11/22/2021