# PREMIER WOUND CARE HYPERBARIC CENTER

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

## Provider details

- **NPI number:** 1740621218
- **Authorized official:** ANCEL ROGERS M.D. (PRESIDENT)
- **Authorized official phone:** (909) 370-4400

## Contact information

- **Practice address:** 9439 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-7946
- **Practice address phone:** (909) 370-4400
- **Mailing address:** 32158 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3720
- **Mailing address phone:** (909) 370-4400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0800X | Recovery Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/12/2013
- **Last updated:** 07/12/2013