Active NPI
Multispecialty Surgical & Wound Care Traveling Consultants
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1689471260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS
- Practice address
- 1425 W Manchester Ave Unit A1425
Los Angeles, CA 90047-5439 - Phone
- (310) 242-7400
- NPI assigned
- Feb 28, 2025
- 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. Daniel Davidson, MD PHD DBA ND
- Title
- Administrator
- Phone
- (310) 212-1500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
1425 W Manchester Ave Unit A1425
Los Angeles, CA 90047-5439
Mailing address
1270 S Alfred St # 1064
Los Angeles, CA 90035-2506
Phone (310) 212-1500
National Provider Directory
National Provider Directory- Tax ID family
- Multispecialty Surgical Wound Care Traveling Consultants
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Los Angeles, CA
- NPI 1740087311
Locations
1425 W Manchester Ave
Unit A1425
Los Angeles, CA 90047
Phone (310) 242-7400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740700800000",
"number": "1689471260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1270 S ALFRED ST # 1064",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900352506",
"telephone_number": "310-212-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 W MANCHESTER AVE UNIT A1425",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900475439",
"telephone_number": "310-242-7400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-28",
"last_updated": "2025-02-28",
"certification_date": "2025-02-28",
"status": "A",
"authorized_official_last_name": "DAVIDSON",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "310-212-1500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD PHD DBA ND"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Ashrit Multani, M.B.B.S.
- Multi Specialty Healthcare Inc
- Multi Specialty Medical Group Professional Corporation
- Multicare Health Center
- Multicultural Counseling and Empowerment Center, Inc.
- Multispecialty Surgical & Wound Care Traveling Consultants
- Selam Tessema Mulugeta
- Sean Mulvihill
- Connie Y Mun-Price, D.O.
- Dong W Mun, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.