Organization
CRESCENT WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED KADRY-HASSANEIN (OWNER)
(858) 967-3070
Entity
Organization
Contact information
Practice address
1015 WEBBER ST, THE DALLES, OR 97058-3527
(858) 967-3070
(858) 431-4736
Mailing address
5580 LA JOLLA BLVD STE 622, LA JOLLA, CA 92037-7651
(858) 967-3070
(858) 431-4736
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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