Provider Demographics
NPI:1891547360
Name:WOUNDCUREMD
Entity Type:Organization
Organization Name:WOUNDCUREMD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMSHIDINIA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:626-709-6863
Mailing Address - Street 1:PO BOX 16639
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-2639
Mailing Address - Country:US
Mailing Address - Phone:626-709-6863
Mailing Address - Fax:
Practice Address - Street 1:6221 FALLBROOK AVE
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91367-1602
Practice Address - Country:US
Practice Address - Phone:626-709-6863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Multi-Specialty