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NPI Code Detail

MEDICARE: TENDER WOUND CARE MEDICAL PC

MEDICARE: TENDER WOUND CARE MEDICAL PC
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
1163WW0000XWound Care Registered Nurse

General Provider Information

NPI Number : 1609686377
Entity Type Code : Organization
Provider Name (Legal Business Name) : TENDER WOUND CARE MEDICAL PC
Provider Business Mailing Address
First Line : 22801 VENTURA BLVD STE 211
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91364-1266
Country : US
Telephone Number : 877-205-5541
Fax Number : 818-538-3380
Provider Business Practice Location Address
First Line : 10101 N 92ND ST STE 201
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4553
Country : US
Telephone Number : 877-205-5541
Fax Number : 818-538-3380
Authorized Official
Title or Position : OWNER
Name : KENNETH M RICE
Credential : MD
Telephone Number : 877-205-5541
Provider Enumeration Date : 01/13/2025
Last Update Date : 06/18/2025

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Directions to “TENDER WOUND CARE MEDICAL PC ” Practice Location

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