California Wound Care
Surgery in Sherman Oaks, CA. Organization (NPI-2).
NPI number1619704277
StatusActive
Last updated in NPPESSep 25, 2024
Details
- NPI
- 1619704277
- Entity type
- Organization (NPI-2)
- Legal business name
- California Wound Care
- Organization subpart
- No
- Enumeration date
- Sep 17, 2024
- Certification date
- Sep 25, 2024
- Last updated
- Sep 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | – | – | Yes |
| 163WW0000X | Registered Nurse, Wound Care | – | – |
Practice location
5651 Sepulveda Blvd Ste 102Sherman Oaks, CA 91411-2954
Phone 818-373-0200 · Fax 818-373-0215
Mailing address
13756 Victory BlvdVan Nuys, CA 91401-2324
Phone 818-373-0200
Authorized official
Krikor B Tatoyan
MD
8183730200
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All 12 Surgery Physician providers in Sherman Oaks · All 3,777 providers in Sherman Oaks
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