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Organization
A2 HEALTHCARE SYSTEM
Active
Organization
A2 HEALTHCARE SYSTEM
Active
Other names
Wound Wise
Organization subpart
No
Provider details
NPI number
Authorized official
JAFAR AHMAD BUKHAMSIN MD (SUPERVISING MD)
(818) 930-6136
Entity
Organization
Contact information
Practice address
818 N BROADWAY STE 205, LOS ANGELES, CA 90012-2342
(818) 930-6136
Mailing address
818 N BROADWAY STE 205, LOS ANGELES, CA 90012-2342
(818) 930-6136
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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