MEDICARE: WOUND AWAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1205671773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND AWAY

Provider Business Mailing Address
First Line	:	14525 VALLEY VIEW AVE STE E
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-5237
Country	:	US
Telephone Number	:	714-457-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	14525 VALLEY VIEW AVE STE E
Second Line	:
City	:	SANTA FE SPRINGS
State	:	CA
Zip	:	90670-5237
Country	:	US
Telephone Number	:	714-457-9905
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. JESSICA CAROL-MACIAS WONG
Credential	:
Telephone Number	:	714-457-9905

Provider Enumeration Date	:	06/27/2024
Last Update Date	:	06/01/2026

Similar Medicare Providers

1659185411 — RESTORATIVE HOME HEALTH LLC
Practice Location Address:

14525 VALLEY VIEW AVE STE F
SANTA FE SPRINGS, CA
90670-5237

Practice Phone: 714-420-5268
Practice Fax:

1407054935 — JANET CAMPBELL SMITH MN MPH
Practice Location Address:

5237 HAYDEN FARMS DR
POWDER SPRINGS, GA
30127-4917

Practice Phone: 770-943-0525
Practice Fax: 770-943-0525

1396613915 — KAREN RENEE GILLIAM
Practice Location Address:

4300 W VILLAGE AVE APT 1048
CAMP SPRINGS, MD
20746-5237

Practice Phone: 202-340-7557
Practice Fax:

1194760090 — GARFIELD BEACH CVS LLC
Practice Location Address:

883 S SANTA FE AVE
VISTA, CA
92083-5237

Practice Phone: 760-630-2134
Practice Fax:

1972975100 — MRS. SUNILA PANCHAL
Practice Location Address:

883 S SANTA FE AVE
VISTA, CA
92083-5237

Practice Phone: 760-630-2134
Practice Fax:

1871966481 — PHYLLIS WU
Practice Location Address:

883 S SANTA FE AVE
VISTA, CA
92083-5237

Practice Phone: 760-630-2134
Practice Fax: 760-630-2965

Directions to “WOUND AWAY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.