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Organization
INTEGRA WOUND & SKIN
Active
Organization
INTEGRA WOUND & SKIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROWNELL HILLIARD PAYNE MD (OWNER)
(310) 560-9292
Entity
Organization
Contact information
Practice address
835 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90017-2603
(310) 560-9292
Mailing address
835 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90017-2603
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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