Organization
WOUND DOCS APC
Active
Other names
Wound Docs
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JACKSON PA (CEO)
(610) 505-9702
Entity
Organization
Contact information
Practice address
27141 ALISO CREEK RD STE 235, ALISO VIEJO, CA 92656-3360
(562) 800-3321
Mailing address
27141 ALISO CREEK RD STE 235, ALISO VIEJO, CA 92656-3360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
03/02/2026
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