Organization Active NPI

HLMG Wound Care Inc

  • Adult Medicine Physician
  • Glendale, CA
National Provider Identifier
1639985401
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
HLMG WOUND CARE INC
Practice address
350 Arden Ave Ste 101
Glendale, CA 91203-1110
Phone
(818) 906-4466
NPI assigned
Dec 6, 2024
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Brianne Crystal Gober, MDNPI 1477713048
Title
Ceo/Owner
Phone
(818) 906-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

350 Arden Ave Ste 101
Glendale, CA 91203-1110

Mailing address

350 Arden Ave Ste 101
Glendale, CA 91203-1110
Phone (818) 906-4466

National Provider Directory

National Provider Directory

Locations

350 Arden Ave
Ste 101
Glendale, CA 91203
Phone (818) 906-4466

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1639985401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "telephone_number": "818-906-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 ARDEN AVE STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031110",
            "telephone_number": "818-906-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HLMG WOUND CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-06",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "GOBER",
        "authorized_official_first_name": "BRIANNE",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "818-906-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "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 Dec 6, 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.