The Wound Care Doctors

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THE WOUND CARE DOCTORS

Practice address

8608 Utica Ave Ste 218
Rancho Cucamonga, CA 91730-4879

Phone

(626) 569-0088

Fax

(866) 443-7567

NPI assigned

Nov 23, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bo Liu, MDNPI 1669605747

Title

President&Ceo

Phone

(626) 569-0088

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bo Liu, M.D.

  • General Practice Physician
  • Rancho Cucamonga, CA
  • NPI 1669605747

  Surgery

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648771200000",
    "number": "1043977184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25044 PEACHLAND AVE STE 110",
            "city": "NEWHALL",
            "state": "CA",
            "postal_code": "913215730",
            "telephone_number": "818-636-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8608 UTICA AVE STE 218",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304879",
            "telephone_number": "626-569-0088",
            "fax_number": "866-443-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WOUND CARE DOCTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "PRESIDENT&CEO",
        "authorized_official_telephone_number": "626-569-0088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Serenity Center
• The Skin Hour
• The Skin Hour
• The Therapy Collective
• The Weitchpec Group
• Natalie Thelander
• Theodore Gerard a Caspe MD a Medical Corporation
• Deja Yanae Theragood
• Ashley Thet
• Deepak Thiagarajan, MD

• Surgery Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.