Organization
WOUND CARE CENTER OF SOCAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERTA LEE (BILLER)
(323) 543-4303
Entity
Organization
Contact information
Practice address
984 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3700
(909) 920-0884
(909) 920-9810
Mailing address
984 W FOOTHILL BLVD STE A, UPLAND, CA 91786-3700
(909) 920-0884
(909) 920-9810
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
01/23/2025
Last updated
01/31/2025
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