Mdwound LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MDWOUND LLC

Practice address

12828 10TH St
Chino, CA 91710-4255

Phone

(702) 540-8097

NPI assigned

Jan 20, 2025

Last updated

Jan 20, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jhoette Dumlao, MD

Title

Owner

Phone

(702) 540-8097

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1558173302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12828 10TH ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 10TH ST",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917104255",
            "telephone_number": "702-540-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDWOUND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "DUMLAO",
        "authorized_official_first_name": "JHOETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-540-8097",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Chino, CA
• Providers in Chino, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.