NPI 1053038398
Nv Wound Care Medical Group
Practice location
- Address
- 1700 E Desert Inn Rd STE 103, Las Vegas, NV 89169-3206
- Phone
- (323) 480-4075
- Mailing address
- 5901 W Century Blvd STE 750, Los Angeles, CA 90045-5443
Authorised official
- Name
- Owen Bernardo Ellington
- Title
- President
- Phone
- (713) 304-4227
Registered specialties (2)
General Practice Physician
Primary
Durable Medical Equipment & Medical Supplies
Registry record
- NPI
- 1053038398
- Entity type
- Organization
- NPI issued
- 27 Oct 2022
- Record last updated
- 27 Oct 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.