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NPI 1811831365

NPI 1811831365 : ON POINT WOUND CARE : SAN JUAN CAPISTRANO, CA

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General NPI Number Information
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    NPI Number           |    1811831365
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    Entity Type          |    Organization 
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    Legal Business Name  |    ON POINT WOUND CARE 
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Dates
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    Enumeration Date     |    04/15/2026
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    Last Update Date     |    04/15/2026
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Provider Practice Location Address
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    Address Line         |    31501 RANCHO VIEJO RD STE 102 
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    City                 |    SAN JUAN CAPISTRANO
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    State                |    CA
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    Zip                  |    92675-1870
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    Country              |    US
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    Telephone            |    702-344-4996
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    Fax                  |    702-240-6545
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Provider Business Mailing Address
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    Address Line         |    10040 W CHEYENNE AVE STE 170 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89129-7721
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    Country              |    US
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    Telephone            |    702-338-9500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    MD
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    Name                 |     SEAN  SU 
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    Credential           |    MD
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    Telephone            |    702-338-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    
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    License Number State |    
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