Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pacific Wound Center Medical Group, Inc

Organization Internal Medicine Physician · NPI 1659399202

Pacific Wound Center Medical Group, Inc is an Internal Medicine Physician in Stockton, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4722 Quail Lakes Dr Ste A
Stockton, CA 95207-5256
Phone: (209) 476-0675
Fax: (209) 476-9389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A31110 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence G74876 (CA)
Podiatrist Taxonomy 213E00000X · Licence E3287 (CA)

Record details

NPI number1659399202
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William McDonald — Owner/Authorized Official,(Per Peco · (209) 476-0675
NPI enumeratedJuly 18, 2006
Last updated in NPPESNovember 23, 2015
Mailing address4722 Quail Lakes Dr, Suite A, Stockton, CA 95207-5256

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