# TARZANA PAIN AND WOUND CENTER

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

## Provider details

- **NPI number:** 1205515632
- **Authorized official:** MS. YVETTE NICOLE JEHDIAN (PRESIDENT)
- **Authorized official phone:** (562) 355-3460

## Contact information

- **Practice address:** 18607 VENTURA BLVD STE 204, TARZANA, CA 91356-4173
- **Practice address phone:** (562) 355-3460
- **Mailing address:** 18607 VENTURA BLVD STE 204, TARZANA, CA 91356-4173
- **Mailing address phone:** (562) 355-3460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2023
- **Last updated:** 07/13/2023