Provider Demographics
NPI:1326868712
Name:MILLENIUM WOUND CARE THERAPY
Entity type:Organization
Organization Name:MILLENIUM WOUND CARE THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASLANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-508-2926
Mailing Address - Street 1:4914 LANKERSHIM BLVD STE 15
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-5376
Mailing Address - Country:US
Mailing Address - Phone:209-508-2926
Mailing Address - Fax:209-508-2929
Practice Address - Street 1:4914 LANKERSHIM BLVD STE 15
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-5376
Practice Address - Country:US
Practice Address - Phone:209-508-2926
Practice Address - Fax:209-508-2929
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-11
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty