Hollywood Wound Treatment Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HOLLYWOOD WOUND TREATMENT INC

Practice address

1800 Vine St Ste 256F
Los Angeles, CA 90028-5250

Phone

(818) 212-5257

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Veronika Eliseeva

Title

Ceo

Phone

(818) 212-5257

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Hollywood Wound Treatment Inc2 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.

• Hollywood Wound Treatment Inc

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1134094907
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• L. Lee Nelson, MD

  • Emergency Medicine Physician
  • Norwalk, CA
  • NPI 1407972656
  Medicare reassignment

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1952274805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 VINE ST STE 256F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "818-212-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 VINE ST STE 256F",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900285250",
            "telephone_number": "818-212-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYWOOD WOUND TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "ELISEEVA",
        "authorized_official_first_name": "VERONIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-212-5257"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hollywood Urgent Care
• Hollywood Vision Center Optometry, Inc.
• Hollywood Walk in Clinic
• Hollywood Wellness Center
• Hollywood Wound Treatment Inc
• Clare Marie Hollywood
• Katherine Holman, FNP
• Madeline Julia Holman
• Patrick James Holman, MD
• Terra Holman

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.