Provider Demographics
NPI:1811726862
Name:STAT MEDICAL AND WOUND CARE SPECIALISTS INC
Entity type:Organization
Organization Name:STAT MEDICAL AND WOUND CARE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:AURELIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:AZANA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:818-934-4225
Mailing Address - Street 1:18531 ROSCOE BLVD
Mailing Address - Street 2:STE 208 A
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-5461
Mailing Address - Country:US
Mailing Address - Phone:818-934-4225
Mailing Address - Fax:818-934-4228
Practice Address - Street 1:18531 ROSCOE BLVD
Practice Address - Street 2:STE 208 A
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-5461
Practice Address - Country:US
Practice Address - Phone:818-934-4225
Practice Address - Fax:818-934-4228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty