Wound Center Inc

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

Legal business name

WOUND CENTER INC

Practice address

250 N Robertson Blvd Ste 104a
Beverly Hills, CA 90211-1767

Phone

(310) 919-4179

Fax

(877) 239-0994

NPI assigned

May 22, 2024

Last updated

Jul 22, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Som Kohanzadeh, MDNPI 1952575342

Title

President

Phone

(310) 429-2257

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Som Kohanzadeh, MD

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
  • NPI 1952575342
  Medicare reassignment Care Compare group NPD Authorized official
• Wade Tyler Chimerofsky, DPM

  • Foot & Ankle Surgery Podiatrist
  • Thousand Oaks, CA
  • NPI 1174018287
  Medicare reassignment Care Compare group NPD
• Helen Shnol, DPM

  • Foot Surgery Podiatrist
  • Beverly Hills, CA
  • NPI 1295258366

  Foot & Ankle Surgery

  Medicare reassignment Care Compare group NPD
• Francesca Castan

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1114684693
  Medicare reassignment Care Compare group
• Kei Christie Kawamoto, PA-C

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1538877089
  Medicare reassignment Care Compare group
• Joo Hyun Park, PA-C

  • Physician Assistant
  • Inglewood, CA
  • NPI 1508376872
  Medicare reassignment Care Compare group
• Kiriaki Taylor

  • Physician Assistant
  • Beverly Hills, CA
  • NPI 1831683762
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1174362818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9663 SANTA MONICA BLVD # 1151",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104303",
            "telephone_number": "103-919-4179",
            "fax_number": "877-239-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N ROBERTSON BLVD STE 104A",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111767",
            "telephone_number": "310-919-4179",
            "fax_number": "877-239-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "KOHANZADEH",
        "authorized_official_first_name": "SOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-429-2257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Wong, M.D.
• Woodlake Surgery Center
• Glen Michael Wool, M.D.
• Garrett Worsey, DDS
• Beverly Ann Woss, DDS
• Wound Institute of America
• Asa Wrange, D.C.
• Julie T. Wright, M.F.T.
• Dan Wu, L.AC
• David Ping-Hsin Wu, M.D.

• Plastic and Reconstructive Surgery Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Plastic and Reconstructive Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.