# EXCELL WOUND CARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194694380
- **Authorized official:** GARY AVANESOV (OWNER)
- **Authorized official phone:** (818) 797-5030

## Contact information

- **Practice address:** 6621 VAN NUYS BLVD STE 97, VAN NUYS, CA 91405-4637
- **Practice address phone:** (818) 797-5030
- **Mailing address:** 6621 VAN NUYS BLVD STE 97, VAN NUYS, CA 91405-4637

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WW0000X | Wound Care Registered Nurse | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/04/2025
- **Last updated:** 11/04/2025