Healthcare Provider Details
I. General information
NPI: 1073444303
Provider Name (Legal Business Name): ONLYWOUNDS A.P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
818 N BROADWAY STE 209
LOS ANGELES CA
90012-2342
US
IV. Provider business mailing address
818 N BROADWAY STE 209
LOS ANGELES CA
90012-2342
US
V. Phone/Fax
- Phone: 818-584-1414
- Fax:
- Phone: 818-584-1414
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
LUKE
NARCISO
Title or Position: CFO
Credential: DNP
Phone: 949-981-2670