Organization
A2 HEALTHCARE SYSTEM
Active
Other names
Wound Wise
Organization subpart
No
Provider details
NPI number
Authorized official
JAFAR AHMAD BUKHAMSIN MD (SUPERVISING MD)
(818) 930-6136
Entity
Organization
Contact information
Practice address
818 N BROADWAY STE 205, LOS ANGELES, CA 90012-2342
(818) 930-6136
Mailing address
818 N BROADWAY STE 205, LOS ANGELES, CA 90012-2342
(818) 930-6136
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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