| Wound Care Medical Group | |
|
301 N Prairie Ave Ste 202 Inglewood CA 90301-4509 | |
| (323) 480-4075 | |
| Not Available |
| Full Name | Wound Care Medical Group |
|---|---|
| Speciality | General Practice |
| Location | 301 N Prairie Ave Ste 202, Inglewood, California |
| Authorized Official Name and Position | Christopher Ayodele Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Care Medical Group 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Care Medical Group 301 N Prairie Ave Ste 202 Inglewood CA 90301-4509 Ph: (323) 480-4075 |
| NPI Number | 1114661121 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114661121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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