Active NPI
Post Acute Wound Specialists LLC
- Surgery Physician
- Sylmar, CA
National Provider Identifier
1649090762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- POST ACUTE WOUND SPECIALISTS LLC
- Practice address
- 14122 Hubbard St
Sylmar, CA 91342-4712 - Phone
- (818) 667-6488
- NPI assigned
- Oct 14, 2024
- 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
- Dr. Mark Gobrial, MD
- Title
- Managing Partner
- Phone
- (818) 667-6488
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
14122 Hubbard St
Sylmar, CA 91342-4712
Mailing address
8834 Reseda Blvd Ste 2052
Northridge, CA 91324-4039
Phone (213) 823-5699
National Provider Directory
National Provider DirectoryLocations
8834 Reseda Blvd
Ste 2052
Northridge, CA 91324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728864000000",
"number": "1649090762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8834 RESEDA BLVD STE 2052",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913244039",
"telephone_number": "213-823-5699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14122 HUBBARD ST",
"city": "SYLMAR",
"state": "CA",
"postal_code": "913424712",
"telephone_number": "818-667-6488"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POST ACUTE WOUND SPECIALISTS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-14",
"last_updated": "2024-10-14",
"certification_date": "2024-10-14",
"status": "A",
"authorized_official_last_name": "GOBRIAL",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "818-667-6488",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sylmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.