Los Angeles Wound And Burn Care
Clinic/Center in Tarzana, CA. Organization (NPI-2).
NPI number1497569776
StatusActive
Last updated in NPPESFeb 5, 2025
Details
- NPI
- 1497569776
- Entity type
- Organization (NPI-2)
- Legal business name
- Los Angeles Wound And Burn Care
- Organization subpart
- No
- Enumeration date
- Feb 5, 2025
- Certification date
- Feb 5, 2025
- Last updated
- Feb 5, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
18340 Ventura Blvd Ste 211Tarzana, CA 91356-4286
Phone 747-295-5281
Mailing address
18340 Ventura Blvd Ste 211Tarzana, CA 91356-4286
Phone 747-295-5281
Authorized official
Jacob Khorramian
Ceo
7472955281
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