MEDICARE: WOUND SMART HEALTH GROUP INC

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1356204044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOUND SMART HEALTH GROUP INC

Provider Business Mailing Address
First Line	:	12011 VICTORY BLVD STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3330
Country	:	US
Telephone Number	:	818-424-2224
Fax Number	:

Provider Business Practice Location Address
First Line	:	12011 VICTORY BLVD STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-3330
Country	:	US
Telephone Number	:	818-424-2224
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. NARE PETROSYAN
Credential	:
Telephone Number	:	818-424-2224

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “WOUND SMART HEALTH GROUP INC ” Practice Location

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