Organization
DERMACRAFT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHRIS KAKOSIMIDI (CFO)
(818) 807-0530
Entity
Organization
Contact information
Practice address
237 N CENTRAL AVE STE A, GLENDALE, CA 91203-3526
(818) 807-0530
Mailing address
237 N CENTRAL AVE STE A, GLENDALE, CA 91203-3526
(818) 807-0530
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
—
—
Other
Enumeration date
07/28/2025
Last updated
08/06/2025
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