Organization
INFINITY WOUND CARE SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONCEPCION CABELLON SAMUELS (CEO)
(818) 418-4440
Entity
Organization
Contact information
Practice address
17337 VENTURA BLVD STE 220, ENCINO, CA 91316-4039
(818) 518-0146
Mailing address
17337 VENTURA BLVD STE 220, ENCINO, CA 91316-4039
(818) 518-0146
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/24/2024
Last updated
09/25/2024
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