MODERM WOUND CARE SPECIALIST LLC NPI 1538043211

NPI Information

  • NPI: 1538043211
  • Provider Name: MODERM WOUND CARE SPECIALIST LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2263 FINCH CIR
    SAN JACINTO, CA
    ZIP 92582
  • Phone: (888) 211-1498

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NPI Details

MODERM WOUND CARE SPECIALIST LLC is a general practice in San Jacinto, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MODERM WOUND CARE SPECIALIST LLC NPI is 1538043211. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2263 FINCH CIR
SAN JACINTO, CA
ZIP 92582-964
Phone: (888) 211-1498

The provider's authorized official is Tamara Pippin .
The authorized official title is Owner and has the following contact phone number (888) 211-1498.

The enumeration date for this NPI number is 8/4/2025 and was last updated on 8/4/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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