Anthem Wound Care Services Inc
NPI 1093692410ActiveOrganization· Surgery· Buena Park, CA
Surgery in Buena Park, California, registered in NPPES in August 2025. The authorized official on file is Soledad O. Lee, MD, President & Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093692410 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 18, 2025 |
| Last updated in NPPES | Aug 18, 2025 |
| Certified by provider | Aug 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|