Provider Demographics
NPI:1437675980
Name:WEST COAST WOUND AND SKIN CARE INC
Entity Type:Organization
Organization Name:WEST COAST WOUND AND SKIN CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DO/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:NOAM
Authorized Official - Last Name:KAY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:818-856-9535
Mailing Address - Street 1:2501 W BURBANK BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2347
Mailing Address - Country:US
Mailing Address - Phone:818-856-9535
Mailing Address - Fax:818-979-0593
Practice Address - Street 1:2501 W BURBANK BLVD STE 200
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2347
Practice Address - Country:US
Practice Address - Phone:818-856-9535
Practice Address - Fax:818-979-0593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-16
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty