# AMNIOTIC WOUND CENTER LLC

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

## Provider details

- **NPI number:** 1336964121
- **Authorized official:** GHASSAN SYED (DIRECTOR)
- **Authorized official phone:** (310) 692-4692

## Contact information

- **Practice address:** 12100 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-7140
- **Practice address phone:** (310) 692-4692
- **Mailing address:** 13563 EGBERT ST, SYLMAR, CA 91342-1846
- **Mailing address phone:** (818) 723-1584

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2024
- **Last updated:** 11/18/2024