Healthcare Provider Details

I. General information

NPI: 1528941994
Provider Name (Legal Business Name): HARMONY WOUND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 07/31/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 W LEXINGTON DR STE 315C
GLENDALE CA
91203-2230
US

IV. Provider business mailing address

121 W LEXINGTON DR STE 315C
GLENDALE CA
91203-2230
US

V. Phone/Fax

Practice location:
  • Phone: 747-245-3220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARIANA MARTIROSYAN
Title or Position: OWNER
Credential:
Phone: 747-245-3220