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Organization

PASADENA WOUND SPECIALTY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NIKITA ELISEEV (CEO)
(818) 326-3037
Entity
Organization

Contact information

Practice address
155 N LAKE AVE STE 827, PASADENA, CA 91101-1849
(818) 326-3037
Mailing address
155 N LAKE AVE STE 827, PASADENA, CA 91101-1849
(818) 326-3037

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
09/05/2025
Last updated
09/05/2025
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