Organization · Type 2 NPI

Wello Wound Care Nursing, PC

Sports Medicine (Family Medicine) Physician · Studio City, CA

NPI number 1629954011 Active

Practice location

11239 Ventura Blvd Ste 212
Studio City, CA 91604-3167

Mailing address

11413 Etiwanda Ave
Porter Ranch, CA 91326-2013

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Family Medicine) Physician Primary 207QS0010XNone listed
Family Nurse Practitioner 363LF0000XNone listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

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About NPI 1629954011

Wello Wound Care Nursing, PC's National Provider Identifier is 1629954011, issued on Aug 12, 2025. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Studio City, CA. The record was last updated on Aug 13, 2025.