MEDICARE: WOUND COMFORT, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1073478152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND COMFORT, LLC

Provider Business Mailing Address
First Line	:	8556 MONUMENT LAKE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6170
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8556 MONUMENT LAKE CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-6170
Country	:	US
Telephone Number	:	702-301-5146
Fax Number	:

Authorized Official
Title or Position	:	OWNER/MANAGING PARTNER
Name	:	GOLDYN DIMASIN
Credential	:	APRN
Telephone Number	:	702-301-5146

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “WOUND COMFORT, LLC ” Practice Location

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