Organization
CALIFORNIA WOUND CARE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTASHE GOLDEN MD (MEDICAL DIRECTOR)
(916) 691-6780
Entity
Organization
Contact information
Practice address
9098 LAGUNA MAIN ST, SUITE 6, ELK GROVE, CA 95758-7449
(916) 691-6780
Mailing address
9098 LAGUNA MAIN ST, SUITE 6, ELK GROVE, CA 95758-7449
(916) 691-6780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207QA0505X
Adult Medicine Physician
—
—
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
10/09/2008
Last updated
02/25/2009
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