| Wellpath Wound Care | |
|
6320 Van Nuys Blvd Ste 205b Van Nuys CA 91401-2617 | |
| (818) 416-3843 | |
| Not Available |
| Full Name | Wellpath Wound Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 6320 Van Nuys Blvd Ste 205b, Van Nuys, California |
| Authorized Official Name and Position | Lilianna Zaratsian (CEO) |
| Authorized Official Contact | 8184163843 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpath Wound Care 6320 Van Nuys Blvd Ste 205b Van Nuys CA 91401-2617 | Wellpath Wound Care 6320 Van Nuys Blvd Ste 205b Van Nuys CA 91401-2617 Ph: (818) 416-3843 |
| NPI Number | 1366304503 |
|---|---|
| Provider Enumeration Date | 11/25/2025 |
| Last Update Date | 11/25/2025 |
| Certification Date | 11/25/2025 |
| Medicare PECOS PAC ID | 8527531367 |
|---|---|
| Medicare Enrollment ID | O20260624001082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366304503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Stanley a Azen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457392847 PECOS PAC ID: 1557348539 Enrollment ID: I20040707001029 |
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