Provider Demographics
NPI:1225744543
Name:TOTAL WOUND CARE AND HEALTH CARE INC
Entity Type:Organization
Organization Name:TOTAL WOUND CARE AND HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHUONG
Authorized Official - Middle Name:
Authorized Official - Last Name:VU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:747-297-5066
Mailing Address - Street 1:21700 GOLDEN TRIANGLE RD STE 203
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2952
Mailing Address - Country:US
Mailing Address - Phone:747-297-5066
Mailing Address - Fax:797-297-5066
Practice Address - Street 1:11210 LOWER AZUSA RD
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-1412
Practice Address - Country:US
Practice Address - Phone:747-297-5066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty