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Organization
PROVISION WOUND CARE INC
Active
Organization
PROVISION WOUND CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNA BABAIAN (CEO)
(310) 269-6644
Entity
Organization
Contact information
Practice address
15130 VENTURA BLVD STE 251, SHERMAN OAKS, CA 91403-3301
(310) 269-6644
Mailing address
15130 VENTURA BLVD STE 251, SHERMAN OAKS, CA 91403-3301
(310) 269-6644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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