Wound Pros Mississippi

NPI #1053038869 in Los Angeles, California

Provider Information

NPI Number: 1053038869
Entity Type: Organization
Organization Name: Wound Pros Mississippi
Primary Specialty: General Practice
Enumeration Date: Oct 24, 2022
Last Updated: Oct 24, 2022

Practice Location

Address: 5901 W CENTURY BLVD STE 750
City: Los Angeles
State: California
ZIP Code: 90045-5443
Phone: (323) 480-4075

Authorized Official

Name: DR. OWEN BERNARDO ELLINGTON, MD
Title: PRESIDENT
Phone: (713) 304-4227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
General Practice	208D00000X	Primary

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