Organization
WOUND DOCTORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEHRAN SOUREHNISSANI MD (PRESIDENT & CEO)
(310) 889-5447
Entity
Organization
Contact information
Practice address
575 E HARDY ST STE 312, INGLEWOOD, CA 90301-4050
(661) 630-4343
(661) 630-4344
Mailing address
575 E HARDY ST STE 312, INGLEWOOD, CA 90301-4050
(661) 630-4343
(661) 630-4344
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
05/03/2023
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