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General NPI Number Information
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NPI Number | 1235333972
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Entity Type | Organization
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Legal Business Name | CALIFORNIA WOUND HEALING MEDICAL GROUP INC.
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Dates
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Enumeration Date | 06/14/2007
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 100 E HUNTINGTON DR STE 209
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City | ALHAMBRA
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State | CA
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Zip | 91801-1022
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Country | US
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Telephone | 323-264-7796
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Fax |
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Provider Business Mailing Address
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Address Line | P O BOX 2589
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City | SAN GABRIEL
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State | CA
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Zip | 91778-2589
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | C.O.O
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Name | GABRIEL J HALPERIN
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Credential |
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Telephone | 323-264-6157
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E2446
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA18760
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License Number State | CA
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