Healthcare Provider Details

I. General information

NPI: 1922918101
Provider Name (Legal Business Name): ELEVATE WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

223 W ALAMEDA AVE STE 202
BURBANK CA
91502-2575
US

IV. Provider business mailing address

223 W ALAMEDA AVE STE 202
BURBANK CA
91502-2575
US

V. Phone/Fax

Practice location:
  • Phone: 747-298-4054
  • Fax: 747-215-5483
Mailing address:
  • Phone: 747-298-4054
  • Fax: 747-215-5483

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: SERYUZHA ABAJYAN
Title or Position: CEO
Credential:
Phone: 818-292-5975