Organization
WELLO WOUND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROVIN SANTOS NP (PRINCIPAL PROVIDER AND LEADER)
(224) 425-1142
Entity
Organization
Contact information
Practice address
11239 VENTURA BLVD, STE 212, UNIT 2, STUDIO CITY, CA 91604
(224) 425-1142
Mailing address
11413 ETIWANDA AVE, PORTER RANCH, CA 91326-2013
(224) 425-1142
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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