Woundcuremd | |
6221 Fallbrook Ave Woodland Hills CA 91367-1602 | |
(626) 709-6863 | |
Not Available |
Full Name | Woundcuremd |
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Speciality | Plastic Surgery |
Location | 6221 Fallbrook Ave, Woodland Hills, California |
Authorized Official Name and Position | Kamran Jamshidinia (PRESIDENT) |
Authorized Official Contact | 6267096863 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Woundcuremd Po Box 16639 Beverly Hills CA 90209-2639 Ph: (626) 709-6863 | Woundcuremd 6221 Fallbrook Ave Woodland Hills CA 91367-1602 Ph: (626) 709-6863 |
NPI Number | 1891547360 |
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Provider Enumeration Date | 04/05/2024 |
Last Update Date | 04/09/2024 |
Medicare PECOS PAC ID | 6901348770 |
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Medicare Enrollment ID | O20240607001622 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891547360 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
208200000X | Plastic Surgery | (* (Not Available)) | Primary |
213E00000X | Podiatrist | (* (Not Available)) | Secondary |
Provider Name | Kamran Jamshidinia |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1265489546 PECOS PAC ID: 1254343098 Enrollment ID: I20060619000311 |
Provider Name | Peyton P Berookim |
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Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1770773830 PECOS PAC ID: 4183705528 Enrollment ID: I20080111000266 |
Provider Name | Shahrokh Jimmy Firouz |
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Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1699938225 PECOS PAC ID: 3779632534 Enrollment ID: I20090527000451 |
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