Organization
VIVIDERM WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA P HO DO (MEDICAL DIRECTOR)
(714) 417-4452
Entity
Organization
Contact information
Practice address
4081 POMELO DR, CORONA, CA 92883-3697
(714) 417-4452
Mailing address
4081 POMELO DR, CORONA, CA 92883-3697
(714) 417-4452
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
04/20/2025
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