MEDICARE: MUIR WOUND CARE

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	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1588541965
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUIR WOUND CARE

Provider Business Mailing Address
First Line	:	3170 CROW CANYON PL
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1347
Country	:	US
Telephone Number	:	888-819-5185
Fax Number	:

Provider Business Practice Location Address
First Line	:	3170 CROW CANYON PL
Second Line	:
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1347
Country	:	US
Telephone Number	:	888-819-5185
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BE-VERLYN NAVARRO
Credential	:	NP
Telephone Number	:	323-336-1178

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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Directions to “MUIR WOUND CARE ” Practice Location

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