Healthcare Provider Details

I. General information

NPI: 1073478152
Provider Name (Legal Business Name): WOUND COMFORT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8556 MONUMENT LAKE CT
LAS VEGAS NV
89113-6170
US

IV. Provider business mailing address

8556 MONUMENT LAKE CT
LAS VEGAS NV
89113-6170
US

V. Phone/Fax

Practice location:
  • Phone: 702-301-5146
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GOLDYN DIMASIN
Title or Position: OWNER/MANAGING PARTNER
Credential: APRN
Phone: 702-301-5146