Organization
PREMIER WOUND CARE HYPERBARIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANCEL ROGERS M.D. (PRESIDENT)
(909) 370-4400
Entity
Organization
Contact information
Practice address
9439 ARCHIBALD AVE, RANCHO CUCAMONGA, CA 91730-7946
(909) 370-4400
Mailing address
32158 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-3720
(909) 370-4400
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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