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General NPI Number Information
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NPI Number | 1780496745
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Entity Type | Organization
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Legal Business Name | ADVANCED WOUND CARE CENTER
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 7803 1/2 ALLOTT AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6409
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Country | US
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Telephone | 818-474-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 7803 1/2 ALLOTT AVE
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City | PANORAMA CITY
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State | CA
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Zip | 91402-6409
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Country | US
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Telephone | 818-474-4636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PHILIP ZHOU
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Credential | MD
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Telephone | 818-474-4636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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