Organization
UNIVERSAL WOUND MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. A J ROGERS MD (CEO)
(302) 200-9698
Entity
Organization
Contact information
Practice address
3390 UNIVERSITY AVE STE 640, RIVERSIDE, CA 92501-3314
(302) 200-9686
(951) 742-5135
Mailing address
3390 UNIVERSITY AVE STE 640, SUITE 640, RIVERSIDE, CA 92501-3314
(302) 200-9686
(951) 742-5135
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
208600000X
Surgery Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5259844
CA SECRETARY OF STATE
CA
Enumeration date
03/03/2023
Last updated
06/12/2026
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