Healthcare Provider Details

I. General information

NPI: 1235029307
Provider Name (Legal Business Name): ELITE WOUND CARE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 VERDUGO BLVD STE 330
GLENDALE CA
91208-1402
US

IV. Provider business mailing address

1809 VERDUGO BLVD STE 330
GLENDALE CA
91208-1402
US

V. Phone/Fax

Practice location:
  • Phone: 844-779-6863
  • Fax:
Mailing address:
  • Phone: 844-779-6863
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: ARGIN HARITOUNIAN
Title or Position: OWNER
Credential: DO
Phone: 818-319-2828