MEDICARE: BEST HEALTHCARE WOUND SPECIALIST

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	:	1871351379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEST HEALTHCARE WOUND SPECIALIST

Provider Business Mailing Address
First Line	:	517 E WILSON AVE STE 103A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4376
Country	:	US
Telephone Number	:	213-868-3565
Fax Number	:	213-868-3565

Provider Business Practice Location Address
First Line	:	517 E WILSON AVE STE 103A
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91206-4376
Country	:	US
Telephone Number	:	213-868-3565
Fax Number	:	213-868-3565

Authorized Official
Title or Position	:	CEO
Name	:	MR. BENJAMIN A SABIO
Credential	:
Telephone Number	:	213-868-3565

Provider Enumeration Date	:	03/08/2024
Last Update Date	:	03/08/2024

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Directions to “BEST HEALTHCARE WOUND SPECIALIST ” Practice Location

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