Healthcare Provider Details

I. General information

NPI: 1457206427
Provider Name (Legal Business Name): THINK WOUND CARE MEDICAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

1350 CHESTNUT AVE
LONG BEACH CA
90813-2945
US

IV. Provider business mailing address

1350 CHESTNUT AVE
LONG BEACH CA
90813-2945
US

V. Phone/Fax

Practice location:
  • Phone: 424-426-2358
  • Fax:
Mailing address:
  • Phone: 424-426-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: AYLMER GOZUM
Title or Position: PRACTICE OWNER
Credential:
Phone: 213-568-5249