# ADVANCED WOUND CARE GROUP USA

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

## Provider details

- **NPI number:** 1972204394
- **Authorized official:** DR. OWEN ELLINGTON MD (PRESIDENT)
- **Authorized official phone:** (713) 304-4227

## Contact information

- **Practice address:** 5901 W CENTURY BLVD STE 750, LOS ANGELES, CA 90045-5443
- **Practice address phone:** (323) 480-4075
- **Practice address fax:** (818) 572-0858
- **Mailing address:** 5901 W CENTURY BLVD STE 750, LOS ANGELES, CA 90045-5443
- **Mailing address phone:** (323) 480-4075
- **Mailing address fax:** (818) 572-0858

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2023
- **Last updated:** 03/13/2023