Healthcare Provider Details

I. General information

NPI: 1871351379
Provider Name (Legal Business Name): BEST HEALTHCARE WOUND SPECIALIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2024
Last Update Date: 03/08/2024
Certification Date: 03/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 E WILSON AVE STE 103A
GLENDALE CA
91206-4376
US

IV. Provider business mailing address

517 E WILSON AVE STE 103A
GLENDALE CA
91206-4376
US

V. Phone/Fax

Practice location:
  • Phone: 213-868-3565
  • Fax: 213-868-3565
Mailing address:
  • Phone: 213-868-3565
  • Fax: 213-868-3565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. BENJAMIN A SABIO
Title or Position: CEO
Credential:
Phone: 213-868-3565