Organization · Type 2 NPI
Elite Wound Specialist PC
Health Service Clinic/Center · Van Nuys, CA
NPI number
1154148997
Active
Practice location
14553 Delano St Ste 306
Van Nuys, CA 91411-2858
Mailing address
325 N Maple Dr, PO Box 5772
Beverly Hills, CA 90209-6002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
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About NPI 1154148997
Elite Wound Specialist PC's National Provider Identifier is 1154148997, issued on Sep 23, 2024. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Van Nuys, CA. The record was last updated on Mar 19, 2026.