Healthcare Provider Details

I. General information

NPI: 1699602235
Provider Name (Legal Business Name): INTEGRITY WOUND PHYSICIANS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1015 WEBBER ST
THE DALLES OR
97058-3527
US

IV. Provider business mailing address

5580 LA JOLLA BLVD STE 622
LA JOLLA CA
92037-7651
US

V. Phone/Fax

Practice location:
  • Phone: 858-967-3070
  • Fax: 858-431-4736
Mailing address:
  • Phone: 858-221-7726
  • Fax: 858-431-4736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: FAISAL AMIN
Title or Position: OWNER
Credential: MD
Phone: 516-589-5137