Organization Active NPI

Bioheal Regenerative Wound Care Medical Group Inc

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1710751276
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BIOHEAL REGENERATIVE WOUND CARE MEDICAL GROUP INC
Practice address
11600 Wilshire Blvd Ste 214
Los Angeles, CA 90025-1782
Phone
(310) 413-6627
Fax
(310) 413-6627
NPI assigned
Nov 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dr. Steven Rosenblatt, MD
Title
President
Phone
(310) 413-6627

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11600 Wilshire Blvd Ste 214
Los Angeles, CA 90025-1782

Mailing address

11600 Wilshire Blvd Ste 214
Los Angeles, CA 90025-1782
Phone (310) 413-6627

National Provider Directory

National Provider Directory

Locations

11600 Wilshire Blvd
Ste 214
Los Angeles, CA 90025
Phone (310) 473-2171

NPI Registry JSON

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

{
    "created_epoch": "1699920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699920000000",
    "number": "1710751276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251782",
            "telephone_number": "310-413-6627",
            "fax_number": "310-413-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 WILSHIRE BLVD STE 214",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251782",
            "telephone_number": "310-413-6627",
            "fax_number": "310-413-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIOHEAL REGENERATIVE WOUND CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-14",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSENBLATT",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-413-6627",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.