Healthcare Provider Details

I. General information

NPI: 1023813615
Provider Name (Legal Business Name): WOUND CARE SOLUTIONS OF CALIFORNIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 S BRAND BLVD STE 119
GLENDALE CA
91204-3551
US

IV. Provider business mailing address

1800 S BRAND BLVD STE 119
GLENDALE CA
91204-3551
US

V. Phone/Fax

Practice location:
  • Phone: 818-206-5141
  • Fax:
Mailing address:
  • Phone: 818-206-5141
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: TIGRAN EKIMYAN
Title or Position: CEO / ADMINISTRATOR
Credential:
Phone: 818-206-5141