Provider Demographics
NPI:1295629475
Name:ADVANCED WOUND CARE & SOLUTIONS INC
Entity type:Organization
Organization Name:ADVANCED WOUND CARE & SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DAVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:PITSHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-250-1737
Mailing Address - Street 1:10940 WHITE ROCK RD STE 210
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6182
Mailing Address - Country:US
Mailing Address - Phone:916-250-1737
Mailing Address - Fax:916-415-3613
Practice Address - Street 1:10940 WHITE ROCK RD STE 210
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6182
Practice Address - Country:US
Practice Address - Phone:916-250-1737
Practice Address - Fax:916-415-3613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty