| NPI | 1023871779 |
|---|---|
| Doing Business As | LA CASA WOUND SPECIALIST |
| Entity Type | Organization |
| Authorized Contact | GINA HABEEB CEO 951-788-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2025-12-03 |