Provider Demographics
NPI:1013809854
Name:WOUND SAVIORS ADVANCED MEDICAL GROUP INC
Entity type:Organization
Organization Name:WOUND SAVIORS ADVANCED MEDICAL GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:JACOB
Authorized Official - Last Name:NARCISO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-981-2670
Mailing Address - Street 1:3605 LONG BEACH BLVD STE 210F
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3605 LONG BEACH BLVD STE 210F
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4013
Practice Address - Country:US
Practice Address - Phone:714-698-9826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty