Organization
PHYSICIANS AND SURGEONS HOME CARE INC
Active
Other names
Physicians and Surgeons Wound Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JACOB GHODS (PRESIDENT)
(424) 258-0124
Entity
Organization
Contact information
Practice address
955 CARRILLO DR STE 400, LOS ANGELES, CA 90048-5472
(818) 213-6325
(818) 532-1002
Mailing address
955 CARRILLO DR STE 400, LOS ANGELES, CA 90048-5472
(818) 213-6325
(818) 532-1002
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA337916
MEDICARE NORTH CALIFORNIA
CA
01
—
CB308648
MEDICARE SOUTH CALIFORNIA
CA
Enumeration date
08/27/2018
Last updated
04/24/2026
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