Anthem Wound Care Services Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ANTHEM WOUND CARE SERVICES INC

Practice address

6888 Lincoln Ave
Buena Park, CA 90620-4107

Phone

(714) 874-6023

Fax

(714) 828-8424

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Soledad O Lee, MDNPI 1063609097

Title

President & Ceo

Phone

(714) 828-8400

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.

• Soledad O Lee, MD

  • Internal Medicine Physician
  • Buena Park, CA
  • NPI 1063609097
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1093692410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-874-6023",
            "fax_number": "714-828-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6888 LINCOLN AVE",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204107",
            "telephone_number": "714-874-6023",
            "fax_number": "714-828-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHEM WOUND CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SOLEDAD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "714-828-8400",
        "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": []
}

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• Surgery Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.