Organization Active NPI

Multispecialty Surgical & Wound Care Traveling Consultants

  • Specialist
  • Los Angeles, CA
National Provider Identifier
1740087311
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MULTISPECIALTY SURGICAL & WOUND CARE TRAVELING CONSULTANTS
Practice address
1425 West Manchester Ave. Unit a
Admin Head Quarter Only
Los Angeles, CA 90047
Phone
(310) 242-7400
NPI assigned
Feb 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Daniel Davidson
Title
Administrator
Phone
(310) 212-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1425 West Manchester Ave. Unit a
Admin Head Quarter Only
Los Angeles, CA 90047

Mailing address

1270 S Alfred St Unit 351064
Los Angeles, CA 90035-8044
Phone (310) 212-1500

National Provider Directory

National Provider Directory
Tax ID family
Multispecialty Surgical Wound Care Traveling Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1270 S Alfred St
Unit 351064
Los Angeles, CA 90035

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": "1740087311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 S ALFRED ST UNIT 351064",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900358044",
            "telephone_number": "310-212-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WEST MANCHESTER AVE. UNIT A",
            "address_2": "ADMIN HEAD QUARTER ONLY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90047",
            "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"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "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 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.

Verify at the official NPI Registry.