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

Vividerm Wound Care

Organization In Home Supportive Care Agency · NPI 1407654189

Vividerm Wound Care is an In Home Supportive Care Agency in Corona, California. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

4081 Pomelo Dr
Corona, CA 92883-3697
Phone: (714) 417-4452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

In Home Supportive Care Agency (primary) Taxonomy 253Z00000X

Record details

NPI number1407654189
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sophia Ho — Medical Director · (714) 417-4452
NPI enumeratedMarch 6, 2025
Last updated in NPPESApril 20, 2025
Certification dateApril 20, 2025
Mailing address4081 Pomelo Dr, Corona, CA 92883-3697

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