Amniotic Wound Center LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

AMNIOTIC WOUND CENTER LLC

Practice address

12100 Wilshire Blvd Ste 800
Los Angeles, CA 90025-7140

Phone

(310) 692-4692

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Ghassan SyedNPI 1477202398

Title

Director

Phone

(310) 692-4692

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ghassan Syed

  • Certified Respiratory Therapist
  • Sylmar, CA
  • NPI 1477202398
  NPD Authorized official
• Joshua Roland, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Los Angeles, CA
  • NPI 1922411453
  NPD
• Amy Meoli, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Palm Desert, CA
  • NPI 1447209218
  NPD (past)

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1336964121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13563 EGBERT ST",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913421846",
            "telephone_number": "818-723-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD STE 800",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257140",
            "telephone_number": "310-692-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMNIOTIC WOUND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-692-4692"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Kochhar MD, a Medical Corporation
• Amity Medical Group, Inc.
• Inaara Barkatali Amlani
• Jamilah Ammari-Mondragon
• Cierra Ammons
• Ozichi Amobi
• Gabrielle Amoils
• Jacienah Amoloja
• Maxine Amondo
• Jonathan Amoni

• Medical Specialty Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.