| Wound Pros Doctors | |
|
4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 | |
| (818) 836-2475 | |
| (323) 433-9177 |
| Full Name | Wound Pros Doctors |
|---|---|
| Speciality | General Practice |
| Location | 4640 Admiralty Way Ste 500, Marina Del Rey, California |
| Authorized Official Name and Position | Christopher Otiko (PRESIDENT) |
| Authorized Official Contact | 8188362475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wound Pros Doctors 5901 W Century Blvd Ste 750 Los Angeles CA 90045-5443 Ph: (323) 480-4075 | Wound Pros Doctors 4640 Admiralty Way Ste 500 Marina Del Rey CA 90292-6636 Ph: (818) 836-2475 |
| NPI Number | 1104571371 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 01/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104571371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Jonathan D. Rand, M.d. Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd, 113, Marina Del Rey, CA 90292 Phone: 310-821-9800 Fax: 310-306-0263 | |
Kenneth Landis M D A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4644 Lincoln Blvd, Suite 500, Marina Del Rey, CA 90292 Phone: 310-822-2255 Fax: 310-822-0044 | |
Access Medical Group Of Mdr Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd, #111, Marina Del Rey, CA 90292 Phone: 310-306-6966 Fax: 310-306-0667 | |
Carlo Medina Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4560 Admiralty Way Ste 201, Marina Del Rey, CA 90292 Phone: 310-823-3443 Fax: 310-305-7470 | |
Etie Moghissi, Md,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd Ste 409, Marina Del Rey, CA 90292 Phone: 310-578-6747 Fax: 310-578-6750 | |
William G Lang Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4644 Lincoln Blvd., Suite 111, Marina Del Rey, CA 90292 Phone: 310-536-8200 Fax: 310-536-8240 |