Healthcare Provider Details

I. General information

NPI: 1942121959
Provider Name (Legal Business Name): FOOT ANKLE LEG WOUND CARE ORANGE COUNTY A PROFESSIONAL MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26302 LA PAZ RD STE 101A
MISSION VIEJO CA
92691-5327
US

IV. Provider business mailing address

26302 LA PAZ RD STE 101A
MISSION VIEJO CA
92691-5327
US

V. Phone/Fax

Practice location:
  • Phone: 949-637-0038
  • Fax: 949-916-1572
Mailing address:
  • Phone: 949-637-0038
  • Fax: 949-916-1572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: THOMAS RAMBACHER
Title or Position: DIRECTOR
Credential:
Phone: 949-637-0038