| Wound And Burn Centers Of America, P.c. | |
|
351 S Fuller Ave Apt 11a Los Angeles CA 90036-5455 | |
| (408) 373-7049 | |
| Not Available |
| Full Name | Wound And Burn Centers Of America, P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 351 S Fuller Ave Apt 11a, Los Angeles, California |
| Authorized Official Name and Position | Babak Hajhosseini (PRESIDENT/CEO) |
| Authorized Official Contact | 4083737049 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound And Burn Centers Of America, P.c. 351 S Fuller Ave Apt 11a Los Angeles CA 90036-5455 Ph: () - | Wound And Burn Centers Of America, P.c. 351 S Fuller Ave Apt 11a Los Angeles CA 90036-5455 Ph: (408) 373-7049 |
| NPI Number | 1386306611 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Medicare PECOS PAC ID | 2961891940 |
|---|---|
| Medicare Enrollment ID | O20211112000841 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386306611 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Babak Hajhosseini |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1558621003 PECOS PAC ID: 4183855893 Enrollment ID: I20140321001758 |
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