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Contact Information

WAYWARD CARE PROFESSIONAL CORPORATION
301 S FAIR OAKS AVE STE 105
PASADENA, CA91105-2536
 Phone: 415-780-1515
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
 

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for WAYWARD CARE PROFESSIONAL CORPORATION

NPI # 1053201475
LBN Legal business name WAYWARD CARE PROFESSIONAL CORPORATION
Authorized official SCOTT MOSSER - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2025
Last updated 08/01/2025 - About 10 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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