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

Specialty Wound Healing and Reconstruction Inc

Organization Plastic Surgery Physician · NPI 1063109668

Specialty Wound Healing and Reconstruction Inc is a Plastic Surgery Physician in Pasadena, California. Registered with an NPI since 2023.

In the registry since
2023
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

50 Bellefontaine St Ste 304
Pasadena, CA 91105-3132
Phone: (626) 325-8246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X

Record details

NPI number1063109668
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sanjeev Puri — President · (626) 325-8246
NPI enumeratedApril 24, 2023
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address50 Bellefontaine St Ste 304, Pasadena, CA 91105-3132

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