Organization
NOVA WOUND CARE MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDAD FOROUZANPOUR DO (PRACTICE OWNER)
(424) 279-9610
Entity
Organization
Contact information
Practice address
8500 WILSHIRE BLVD STE 1020, BEVERLY HILLS, CA 90211-3108
(424) 279-9610
(310) 360-6246
Mailing address
8500 WILSHIRE BLVD STE 1020, BEVERLY HILLS, CA 90211-3108
(424) 279-9610
(310) 360-6246
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/05/2025
Last updated
12/12/2025
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