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Organization

ELITE WOUND SPECIALIST PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHIMA PEZESHKI NP (SHAREHOLDER)
(310) 500-9068
Entity
Organization

Contact information

Practice address
14553 DELANO ST STE 306, VAN NUYS, CA 91411-2858
(310) 621-9038
Mailing address
325 N MAPLE DR, PO BOX 5772, BEVERLY HILLS, CA 90209-6002
(310) 621-9038

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
09/23/2024
Last updated
03/19/2026
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