Provider Demographics
NPI:1821442781
Name:WOUND CARE PARTNERS INC
Entity Type:Organization
Organization Name:WOUND CARE PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ARISTOTLE
Authorized Official - Middle Name:ZAPATA
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:909-594-5162
Mailing Address - Street 1:618 BREA CANYON RD
Mailing Address - Street 2:SUITE I
Mailing Address - City:DIAMOND BAR
Mailing Address - State:CA
Mailing Address - Zip Code:91789-3022
Mailing Address - Country:US
Mailing Address - Phone:909-594-5162
Mailing Address - Fax:866-266-4495
Practice Address - Street 1:618 BREA CANYON RD
Practice Address - Street 2:SUITE I
Practice Address - City:DIAMOND BAR
Practice Address - State:CA
Practice Address - Zip Code:91789-3022
Practice Address - Country:US
Practice Address - Phone:909-594-5162
Practice Address - Fax:866-266-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Single Specialty