Healthcare Provider Details
I. General information
NPI: 1144105206
Provider Name (Legal Business Name): CALIFORNIA WOUND & HYPERBARIC SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2255 MORELLO AVE STE 121
PLEASANT HILL CA
94523-1855
US
IV. Provider business mailing address
2255 MORELLO AVE STE 121
PLEASANT HILL CA
94523-1855
US
V. Phone/Fax
- Phone: 510-224-6556
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213E00000X |
| Taxonomy | Podiatrist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOHN
SALVADOR
Title or Position: PRACTICE CO-OWNER
Credential:
Phone: 510-224-6556