| Advance Wound Care Pros | |
|
6257 Van Nuys Blvd Ste A Van Nuys CA 91401-2733 | |
| (818) 939-6289 | |
| Not Available |
| Full Name | Advance Wound Care Pros |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 6257 Van Nuys Blvd Ste A, Van Nuys, California |
| Authorized Official Name and Position | Gevork Ekimyan (MANAGER) |
| Authorized Official Contact | 8189396289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Wound Care Pros 6257 Van Nuys Blvd Ste A Van Nuys CA 91401-2733 Ph: (818) 939-6289 | Advance Wound Care Pros 6257 Van Nuys Blvd Ste A Van Nuys CA 91401-2733 Ph: (818) 939-6289 |
| NPI Number | 1629861844 |
|---|---|
| Provider Enumeration Date | 05/28/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 05/28/2025 |
| Medicare PECOS PAC ID | 4183139413 |
|---|---|
| Medicare Enrollment ID | O20250715002813 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629861844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | () | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | () | Primary |
| Provider Name | Anahit Blikian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1376596403 PECOS PAC ID: 4587554290 Enrollment ID: I20041109000720 |
| Provider Name | Denise F Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578766366 PECOS PAC ID: 2264489137 Enrollment ID: I20050401000944 |
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