Provider Demographics
NPI:1508558081
Name:HASTINGS WOUND SOLUTIONS
Entity Type:Organization
Organization Name:HASTINGS WOUND SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:I-LUN
Authorized Official - Last Name:JENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-268-8751
Mailing Address - Street 1:1113 FOOTHILL BLVD # A
Mailing Address - Street 2:
Mailing Address - City:LA CANADA FLINTRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91011-3207
Mailing Address - Country:US
Mailing Address - Phone:714-398-3739
Mailing Address - Fax:818-671-3521
Practice Address - Street 1:1113 FOOTHILL BLVD # A
Practice Address - Street 2:
Practice Address - City:LA CANADA FLINTRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91011-3207
Practice Address - Country:US
Practice Address - Phone:714-398-3739
Practice Address - Fax:818-671-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty