Active NPI
Dermavex Wound Care
- General Practice Physician
- Glendale, CA
National Provider Identifier
1497666408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- DERMAVEX WOUND CARE
- Practice address
- 620 N Brand Blvd Ste 609
Glendale, CA 91203-4208 - Phone
- (310) 734-9046
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Khusravshoh Majidov
- Title
- Ceo/Owner
- Phone
- (310) 734-9046
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
620 N Brand Blvd Ste 609
Glendale, CA 91203-4208
Mailing address
620 N Brand Blvd Ste 609
Glendale, CA 91203-4208
Phone (310) 734-9046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1497666408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N BRAND BLVD STE 609",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034208",
"telephone_number": "310-734-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 N BRAND BLVD STE 609",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034208",
"telephone_number": "310-734-9046"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DERMAVEX WOUND CARE",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "MAJIDOV",
"authorized_official_first_name": "KHUSRAVSHOH",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "310-734-9046"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.