American Wound Care PC
Internal Medicine in Van Nuys, CA. Organization (NPI-2).
NPI number1881417889
StatusActive
Last updated in NPPESNov 6, 2024
Details
- NPI
- 1881417889
- Entity type
- Organization (NPI-2)
- Legal business name
- American Wound Care PC
- Organization subpart
- No
- Enumeration date
- Nov 6, 2024
- Certification date
- Nov 6, 2024
- Last updated
- Nov 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 207RH0002X | Internal Medicine, Hospice and Palliative Medicine | – | – |
Practice location
14349 Victory Blvd Ste 200Van Nuys, CA 91401-6515
Phone 917-732-6379
Mailing address
14349 Victory Blvd Ste 200Van Nuys, CA 91401-6515
Authorized official
Oren Raphael
Owner
9177326379
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