MEDICARE: DESERT VALLEY WOUND SPECIALISTS 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	163WW0000X	Wound Care Registered Nurse

General Provider Information

NPI Number	:	1790618981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT VALLEY WOUND SPECIALISTS INC

Provider Business Mailing Address
First Line	:	2314 FLINTRIDGE DR
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-1023
Country	:	US
Telephone Number	:	323-387-8727
Fax Number	:	866-877-3008

Provider Business Practice Location Address
First Line	:	2222 S DOBSON RD STE 1105
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85202-6201
Country	:	US
Telephone Number	:	602-663-8877
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	SARKIS CHILGEVORKYAN
Credential	:
Telephone Number	:	480-404-8054

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/11/2026

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