| Woundsafe | |
|
15720 Ventura Blvd Ste 305 Encino CA 91436-2988 | |
| (818) 290-3038 | |
| (818) 290-3102 |
| Full Name | Woundsafe |
|---|---|
| Speciality | General Practice |
| Location | 15720 Ventura Blvd Ste 305, Encino, California |
| Authorized Official Name and Position | Marine Vardanyan (SECRETARY) |
| Authorized Official Contact | 8185723937 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Woundsafe 15720 Ventura Blvd Ste 305 Encino CA 91436-2988 Ph: (818) 290-3038 | Woundsafe 15720 Ventura Blvd Ste 305 Encino CA 91436-2988 Ph: (818) 290-3038 |
| NPI Number | 1386439651 |
|---|---|
| Provider Enumeration Date | 04/09/2025 |
| Last Update Date | 04/09/2025 |
| Certification Date | 04/09/2025 |
| Medicare PECOS PAC ID | 5193224855 |
|---|---|
| Medicare Enrollment ID | O20250819002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386439651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Shi Tang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023695814 PECOS PAC ID: 4385187079 Enrollment ID: I20240622000443 |
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