MEDICARE: OPTIMAL WOUND CARE 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1528985124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OPTIMAL WOUND CARE INC

Provider Business Mailing Address
First Line	:	3900 W ALAMEDA AVE STE 1514
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4387
Country	:	US
Telephone Number	:	747-309-7817
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 W ALAMEDA AVE STE 1514
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-4387
Country	:	US
Telephone Number	:	747-309-7817
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EKATERINA SHAFRANOVSKAIA
Credential	:
Telephone Number	:	747-309-7817

Provider Enumeration Date	:	07/03/2026
Last Update Date	:	07/03/2026

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Directions to “OPTIMAL WOUND CARE INC ” Practice Location

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