Healthcare Provider Details

I. General information

NPI: 1376453001
Provider Name (Legal Business Name): SANGAL WOUND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12100 WILSHIRE BLVD STE 884
LOS ANGELES CA
90025-7120
US

IV. Provider business mailing address

12100 WILSHIRE BLVD STE 884
LOS ANGELES CA
90025-7120
US

V. Phone/Fax

Practice location:
  • Phone: 747-287-5103
  • Fax:
Mailing address:
  • Phone: 747-287-5103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEHRANGEZ SANGALIEVA
Title or Position: CEO
Credential:
Phone: 747-287-5103