Active NPI
Wound Pros
- General Practice Physician
- Inglewood, CA
National Provider Identifier
1649758376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WOUND PROS
- Practice address
- 301 N Prairie Ave Ste 202
Inglewood, CA 90301-4509 - Phone
- (888) 880-3451
- NPI assigned
- Aug 3, 2018
- 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. Christopher Otiko, DPM
- Title
- President
- Phone
- (818) 836-2475
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | G077666 | CA |
Addresses
Primary practice location
301 N Prairie Ave Ste 202
Inglewood, CA 90301-4509
Mailing address
5901 W Century Blvd Ste 750
Los Angeles, CA 90045-5443
Phone (323) 480-4075
Other practice location 1
4640 Admiralty Way Ste 500
Marina Del Rey, CA 90292-6636
Phone (818) 836-2475
National Provider Directory
National Provider DirectoryLocations
4640 Admiralty Way
Ste 500
Marina del Rey, CA 90292
Phone (323) 434-9441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1673222400000",
"number": "1649758376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 W CENTURY BLVD STE 750",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455443",
"telephone_number": "323-480-4075",
"fax_number": "323-433-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 N PRAIRIE AVE STE 202",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "903014509",
"telephone_number": "888-880-3451"
}
],
"practiceLocations": [
{
"address_1": "4640 Admiralty Way Ste 500",
"address_purpose": "LOCATION",
"city": "Marina Del Rey",
"state": "CA",
"postal_code": "902926636",
"country_code": "US",
"telephone_number": "818-836-2475",
"fax_number": "323-433-9177",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WOUND PROS",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-03",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A",
"authorized_official_last_name": "OTIKO",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-836-2475",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "G077666",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inglewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.