Healthcare Provider Details

I. General information

NPI: 1386524627
Provider Name (Legal Business Name): APPLECARE HEALTH AND WOUNDCARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12377 LEWIS ST STE 104
GARDEN GROVE CA
92840-4691
US

IV. Provider business mailing address

12377 LEWIS ST STE 104
GARDEN GROVE CA
92840-4691
US

V. Phone/Fax

Practice location:
  • Phone: 714-422-0037
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LAWRENCE TAWA
Title or Position: OWNER
Credential:
Phone: 714-422-0037