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Pacific Wound Center Medical Group, Inc.
Podiatrist in Stockton, California
NPI 1659399202

Pacific Wound Center Medical Group, Inc. is a Podiatrist based in Stockton, CA. Pacific Wound Center Medical Group, Inc. practices in Stockton, CA. The NPI Number for Pacific Wound Center Medical Group, Inc. is 1659399202 and holds a License No. G74876 (California).

The current practice location address for Pacific Wound Center Medical Group, Inc. is 4722 Quail Lakes Dr, Stockton, CA and can be reached out via phone at 209-476-0675 and via fax at 209-476-9389.

Location: 4722 Quail Lakes Dr, Stockton, CA, 95207-5256
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1659399202
Provider Name
Pacific Wound Center Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
4722 Quail Lakes Dr, Stockton, CA, 95207-5256
Phone Number
209-476-0675
Fax Number
209-476-9389
Provider Enumeration Date
07/18/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ07794Z 01 CA BLUE SHIELD
ZZZ07794Z 01 BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4722 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5256
Phone Number
209-476-0675
Fax Number
209-476-9389
person
Provider Business Mailing Address Details
Address
4722 Quail Lakes Dr
City
Stockton
State
California
Zip
95207-5256
Phone Number
209-476-0675
Fax Number
209-476-9389
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
E3287 (California)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
A31110 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
G74876 (California)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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