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Organization

INTEGRA WOUND & SKIN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BROWNELL HILLIARD PAYNE MD (OWNER)
(310) 560-9292
Entity
Organization

Contact information

Practice address
835 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90017-2603
(310) 560-9292
Mailing address
835 WILSHIRE BLVD STE 520, LOS ANGELES, CA 90017-2603

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary

Other

Enumeration date
12/11/2025
Last updated
12/11/2025
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