Healthcare Provider Details

I. General information

NPI: 1184553323
Provider Name (Legal Business Name): WOUNDCORE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6320 VAN NUYS BLVD STE 205
VAN NUYS CA
91401-6634
US

IV. Provider business mailing address

6320 VAN NUYS BLVD STE 205
VAN NUYS CA
91401-6634
US

V. Phone/Fax

Practice location:
  • Phone: 818-590-7117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LILIANNA ZARATSIAN
Title or Position: CEO
Credential:
Phone: 818-590-7117