Organization
ADVANCED WOUND CARE & HYPERBARIC SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YOSHINOBU MIFUNE M.D. (PRESIDENT/CEO)
(610) 442-1270
Entity
Organization
Contact information
Practice address
28078 BAXTER RD, SUITE 410, MURRIETA, CA 92563-1402
(951) 566-9800
(951) 566-9801
Mailing address
28078 BAXTER RD, SUITE 410, MURRIETA, CA 92563-1402
(951) 566-9800
(951) 566-9801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C54792
CA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
C54792
CA
Other
Enumeration date
12/20/2012
Last updated
12/21/2012
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