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NPI Code Detail

MEDICARE: HEALIX360 ADVANCED MOBILE WOUND CARE SPECIALISTS

MEDICARE: HEALIX360 ADVANCED MOBILE WOUND CARE SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1780545301
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALIX360 ADVANCED MOBILE WOUND CARE SPECIALISTS
Provider Business Mailing Address
First Line : 6618 SAN FERNANDO RD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-1703
Country : US
Telephone Number : 877-545-1300
Fax Number :
Provider Business Practice Location Address
First Line : 6618 SAN FERNANDO RD
Second Line :
City : GLENDALE
State : CA
Zip : 91201-1703
Country : US
Telephone Number : 877-545-1300
Fax Number :
Authorized Official
Title or Position : CEO
Name : ALINA MORADYAN
Credential :
Telephone Number : 877-545-1300
Provider Enumeration Date : 11/21/2025
Last Update Date : 11/21/2025

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Directions to “HEALIX360 ADVANCED MOBILE WOUND CARE SPECIALISTS ” Practice Location

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