# CRESCENT WOUND CARE INC

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

## Provider details

- **NPI number:** 1942177548
- **Authorized official:** MOHAMED KADRY-HASSANEIN (OWNER)
- **Authorized official phone:** (858) 967-3070

## Contact information

- **Practice address:** 1015 WEBBER ST, THE DALLES, OR 97058-3527
- **Practice address phone:** (858) 967-3070
- **Practice address fax:** (858) 431-4736
- **Mailing address:** 5580 LA JOLLA BLVD STE 622, LA JOLLA, CA 92037-7651
- **Mailing address phone:** (858) 967-3070
- **Mailing address fax:** (858) 431-4736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/20/2025
- **Last updated:** 10/20/2025