Provider Demographics
NPI:1427922392
Name:HARBOR WOUND CARE P.C.
Entity type:Organization
Organization Name:HARBOR WOUND CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:ANOUSHEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHOURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-480-1418
Mailing Address - Street 1:1424 HUMMINGBIRD WAY
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-7206
Mailing Address - Country:US
Mailing Address - Phone:626-250-4912
Mailing Address - Fax:
Practice Address - Street 1:1424 HUMMINGBIRD WAY
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-7206
Practice Address - Country:US
Practice Address - Phone:626-250-4912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty