Organization Active NPI

Los Angeles Wound and Burn Care

  • Clinic/Center
  • Tarzana, CA
National Provider Identifier
1497569776
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LOS ANGELES WOUND AND BURN CARE
Practice address
18340 Ventura Blvd Ste 211
Tarzana, CA 91356-4286
Phone
(747) 295-5281
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Jacob Khorramian
Title
Ceo
Phone
(747) 295-5281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

18340 Ventura Blvd Ste 211
Tarzana, CA 91356-4286

Mailing address

18340 Ventura Blvd Ste 211
Tarzana, CA 91356-4286
Phone (747) 295-5281

National Provider Directory

National Provider Directory

Locations

18340 Ventura Blvd
Ste 211
Tarzana, CA 91356
Phone (747) 295-5281

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1497569776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 211",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564286",
            "telephone_number": "747-295-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18340 VENTURA BLVD STE 211",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913564286",
            "telephone_number": "747-295-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS ANGELES WOUND AND BURN CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "KHORRAMIAN",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-295-5281"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.