Provider Demographics
NPI:1063295996
Name:COMPASSIONATE WOUND CARE INC
Entity type:Organization
Organization Name:COMPASSIONATE WOUND CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SUNDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:PANDHOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-294-9373
Mailing Address - Street 1:402 ROCKEFELLER UNIT 407
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-8107
Mailing Address - Country:US
Mailing Address - Phone:949-294-9373
Mailing Address - Fax:
Practice Address - Street 1:402 ROCKEFELLER UNIT 407
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-8107
Practice Address - Country:US
Practice Address - Phone:949-294-9373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty