Organization
MOBILE WOUND CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HAGA MD (CEO)
(949) 226-8416
Entity
Organization
Contact information
Practice address
1001 AVENIDA PICO # C488, SAN CLEMENTE, CA 92673-6957
(949) 226-8400
Mailing address
1001 AVENIDA PICO # C488, SAN CLEMENTE, CA 92673-6957
(949) 226-8400
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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