Organization
JOVIVE WOUND CARE PC
Active
Organization
JOVIVE WOUND CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOPHILE GEORGE KOURY MD (PRESIDENT)
(510) 350-2774
Entity
Organization
Contact information
Practice address
11340 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3858
(909) 435-4852
Mailing address
2100 POWELL ST STE 400, EMERYVILLE, CA 94608-1872
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2026
Last updated
08/21/2026
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