MEDICARE: STAT MEDICAL AND WOUND CARE SPECIALISTS INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	2086S0122X	Plastic and Reconstructive Surgery Physician
2	207Q00000X	Family Medicine Physician
3	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1811726862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STAT MEDICAL AND WOUND CARE SPECIALISTS INC

Provider Business Mailing Address
First Line	:	18531 ROSCOE BLVD
Second Line	:	STE 208 A
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-5461
Country	:	US
Telephone Number	:	818-934-4225
Fax Number	:	818-934-4228

Provider Business Practice Location Address
First Line	:	18531 ROSCOE BLVD
Second Line	:	STE 208 A
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-5461
Country	:	US
Telephone Number	:	818-934-4225
Fax Number	:	818-934-4228

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	AURELIA B AZANA
Credential	:	RN
Telephone Number	:	818-934-4225

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	12/08/2025

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