Organization
SPECIALTY WOUND HEALING AND RECONSTRUCTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV PURI MD (PRESIDENT)
(626) 325-8246
Entity
Organization
Contact information
Practice address
50 BELLEFONTAINE ST STE 304, PASADENA, CA 91105-3132
(626) 325-8246
Mailing address
50 BELLEFONTAINE ST STE 304, PASADENA, CA 91105-3132
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
03/21/2025
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