Healthcare Provider Details

I. General information

NPI: 1811726862
Provider Name (Legal Business Name): STAT MEDICAL AND WOUND CARE SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18531 ROSCOE BLVD STE 208 A
NORTHRIDGE CA
91324-5461
US

IV. Provider business mailing address

18531 ROSCOE BLVD STE 208 A
NORTHRIDGE CA
91324-5461
US

V. Phone/Fax

Practice location:
  • Phone: 818-934-4225
  • Fax: 818-934-4228
Mailing address:
  • Phone: 818-934-4225
  • Fax: 818-934-4228

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AURELIA B AZANA
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 818-934-4225