Provider Demographics
NPI:1033973086
Name:NEXTGEN WOUND CARE
Entity Type:Organization
Organization Name:NEXTGEN WOUND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:
Authorized Official - First Name:AROUTI
Authorized Official - Middle Name:
Authorized Official - Last Name:AGOUPI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-644-5444
Mailing Address - Street 1:400 CORPORATE POINTE STE 300
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-7620
Mailing Address - Country:US
Mailing Address - Phone:818-644-5444
Mailing Address - Fax:
Practice Address - Street 1:400 CORPORATE POINTE STE 30020
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-7615
Practice Address - Country:US
Practice Address - Phone:818-644-5444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health