Provider Demographics
NPI:1356167944
Name:HEALPOINT MOBILE WOUND CARE, INC.
Entity type:Organization
Organization Name:HEALPOINT MOBILE WOUND CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MIKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AIVAZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-999-8939
Mailing Address - Street 1:19331 PINE VALLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19331 PINE VALLEY AVE
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-1403
Practice Address - Country:US
Practice Address - Phone:747-999-8939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-27
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care