Healthcare Provider Details

I. General information

NPI: 1497674527
Provider Name (Legal Business Name): GENTLE CARE WOUND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6931 VAN NUYS BLVD STE 307C
VAN NUYS CA
91405-3997
US

IV. Provider business mailing address

6931 VAN NUYS BLVD STE 307C
VAN NUYS CA
91405-3997
US

V. Phone/Fax

Practice location:
  • Phone: 213-224-9928
  • Fax:
Mailing address:
  • Phone: 213-224-9928
  • 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: CARLITO SADSAD
Title or Position: CEO
Credential:
Phone: 213-224-9928