Provider Demographics
NPI:1821882986
Name:HEALM WOUND CARE SPECIALISTS INC
Entity type:Organization
Organization Name:HEALM WOUND CARE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MESKEREM
Authorized Official - Middle Name:N
Authorized Official - Last Name:GEBREMEDHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-681-1460
Mailing Address - Street 1:17102 DE GROOT PL
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1185
Mailing Address - Country:US
Mailing Address - Phone:323-681-1460
Mailing Address - Fax:
Practice Address - Street 1:17102 DE GROOT PL
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-1185
Practice Address - Country:US
Practice Address - Phone:323-681-1460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty