Organization
SOCAL MEDICAL CLINICS
Active
Other names
REVIVE WOUND GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GERSON MD (CEO)
(619) 241-2191
Entity
Organization
Contact information
Practice address
2878 CAMINO DEL RIO S STE 220, SAN DIEGO, CA 92108-3845
(619) 241-2191
Mailing address
2878 CAMINO DEL RIO S STE 220, SAN DIEGO, CA 92108-3845
(619) 241-2191
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/17/2025
Last updated
04/21/2025
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