MEDICARE: ACUHEAL WOUND SPECIALISTS

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	:	1891519070
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUHEAL WOUND SPECIALISTS

Provider Business Mailing Address
First Line	:	10545 BURBANK BLVD STE 132
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10545 BURBANK BLVD STE 132
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2250
Country	:	US
Telephone Number	:	818-300-4922
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	NAIRA GYANDZHYAN
Credential	:
Telephone Number	:	818-300-4922

Provider Enumeration Date	:	11/13/2024
Last Update Date	:	11/13/2024

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