Healthcare Provider Details

I. General information

NPI: 1790618981
Provider Name (Legal Business Name): DESERT VALLEY WOUND SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S DOBSON RD STE 1105
MESA AZ
85202-6201
US

IV. Provider business mailing address

2314 FLINTRIDGE DR
GLENDALE CA
91206-1023
US

V. Phone/Fax

Practice location:
  • Phone: 602-663-8877
  • Fax:
Mailing address:
  • Phone: 323-387-8727
  • Fax: 866-877-3008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: SARKIS CHILGEVORKYAN
Title or Position: CEO
Credential:
Phone: 480-404-8054