MEDICARE: JS WOUND CARE INC

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	208600000X	Surgery Physician

General Provider Information

NPI Number	:	1598576100
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JS WOUND CARE INC

Provider Business Mailing Address
First Line	:	25044 PEACHLAND AVE STE 110
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-5730
Country	:	US
Telephone Number	:	844-960-2673
Fax Number	:

Provider Business Practice Location Address
First Line	:	25050 PEACHLAND AVE STE 255
Second Line	:
City	:	NEWHALL
State	:	CA
Zip	:	91321-5761
Country	:	US
Telephone Number	:	714-261-5181
Fax Number	:	818-356-4380

Authorized Official
Title or Position	:	PRESIDENT/CFO
Name	:	SON HUYNH
Credential	:	PA
Telephone Number	:	714-261-5181

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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Directions to “JS WOUND CARE INC ” Practice Location

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