Healthcare Provider Details

I. General information

NPI: 1477445294
Provider Name (Legal Business Name): EXPERT WOUND CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 N ALTADENA DR STE 304
PASADENA CA
91107-7339
US

IV. Provider business mailing address

133 N ALTADENA DR STE 304
PASADENA CA
91107-7339
US

V. Phone/Fax

Practice location:
  • Phone: 949-309-4235
  • Fax: 949-860-7730
Mailing address:
  • Phone: 949-309-4235
  • Fax: 949-860-7730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANIKA MATHIAH
Title or Position: CEO
Credential: MD
Phone: 949-309-4235