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Organization
MC WOUND CARE
Active
Organization
MC WOUND CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHEN TAVAKALYAN (PRESIDENT)
(213) 282-6886
Entity
Organization
Contact information
Practice address
225 E BROADWAY STE 303C, GLENDALE, CA 91205-4099
(213) 282-6886
Mailing address
225 E BROADWAY STE 303C, GLENDALE, CA 91205-4099
(213) 282-6886
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/19/2025
Last updated
08/09/2025
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