| Evergreen Wound Care | |
|
4502 Dyer St Ste 203 La Crescenta CA 91214-2869 | |
| (747) 342-3078 | |
| Not Available |
| Full Name | Evergreen Wound Care |
|---|---|
| Speciality | Clinic/center |
| Location | 4502 Dyer St Ste 203, La Crescenta, California |
| Authorized Official Name and Position | Mariam Arlyn Nazaretyan (CEO) |
| Authorized Official Contact | 7473423078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Wound Care 4502 Dyer St Ste 203 La Crescenta CA 91214-2869 Ph: () - | Evergreen Wound Care 4502 Dyer St Ste 203 La Crescenta CA 91214-2869 Ph: (747) 342-3078 |
| NPI Number | 1518830744 |
|---|---|
| Provider Enumeration Date | 09/24/2025 |
| Last Update Date | 09/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518830744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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