Healthcare Provider Details

I. General information

NPI: 1063109668
Provider Name (Legal Business Name): SPECIALTY WOUND HEALING AND RECONSTRUCTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2023
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 BELLEFONTAINE ST STE 304
PASADENA CA
91105-3132
US

IV. Provider business mailing address

50 BELLEFONTAINE ST STE 304
PASADENA CA
91105-3132
US

V. Phone/Fax

Practice location:
  • Phone: 626-325-8246
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SANJEEV PURI
Title or Position: PRESIDENT
Credential: MD
Phone: 626-325-8246