MEDICARE: HEALTH CONNECT WOUND SOLUTIONS PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	208C00000X	Colon & Rectal Surgery Physician
2	207RN0300X	Nephrology Physician
3	246ZN0300X	Nephrology Specialist/Technologist
4	207Q00000X	Family Medicine Physician
5	207RG0300X	Geriatric Medicine (Internal Medicine) Physician
6	163WW0000X	Wound Care Registered Nurse
7	213EP1101X	Primary Podiatric Medicine Podiatrist
8	208600000X	Surgery Physician
9	363LP2300X	Primary Care Nurse Practitioner
10	213ES0103X	Foot & Ankle Surgery Podiatrist
11	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
12	2084N0400X	Neurology Physician
13	207QG0300X	Geriatric Medicine (Family Medicine) Physician

General Provider Information

NPI Number	:	1720962699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH CONNECT WOUND SOLUTIONS PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	433 AIRPORT BLVD STE 100
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-2037
Country	:	US
Telephone Number	:	833-566-5696
Fax Number	:

Provider Business Practice Location Address
First Line	:	433 AIRPORT BLVD STE 100
Second Line	:
City	:	BURLINGAME
State	:	CA
Zip	:	94010-2037
Country	:	US
Telephone Number	:	650-740-3442
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. RAN S KIM
Credential	:	MD, FACS
Telephone Number	:	925-787-2914

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	05/07/2026

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Directions to “HEALTH CONNECT WOUND SOLUTIONS PROFESSIONAL CORPORATION ” Practice Location

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