Advance Wound Care Pros
Nurse Practitioner, Primary Care in Van Nuys, CA. Organization (NPI-2).
NPI number1629861844
StatusActive
Last updated in NPPESMay 28, 2025
Details
- NPI
- 1629861844
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Wound Care Pros
- Organization subpart
- No
- Enumeration date
- May 28, 2025
- Certification date
- May 28, 2025
- Last updated
- May 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | – | – | Yes |
| 207QA0000X | Family Medicine, Adolescent Medicine | – | – |
Practice location
6257 Van Nuys Blvd Ste AVan Nuys, CA 91401-2733
Phone 818-939-6289
Mailing address
6257 Van Nuys Blvd Ste AVan Nuys, CA 91401-2733
Phone 818-939-6289
Authorized official
Gevork Ekimyan
Manager
8189396289
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