Organization
WOUNDSAFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARINE VARDANYAN (SECRETARY)
(818) 572-3937
Entity
Organization
Contact information
Practice address
15720 VENTURA BLVD STE 305, ENCINO, CA 91436-2988
(818) 290-3038
(818) 290-3102
Mailing address
15720 VENTURA BLVD STE 305, ENCINO, CA 91436-2988
(818) 290-3038
(818) 290-3102
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/09/2025
Last updated
04/09/2025
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