Activeheal Wound Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ACTIVEHEAL WOUND CARE

Practice address

121 W Lexington Dr Ste 418a
Glendale, CA 91203-3663

Phone

(747) 400-1014

Fax

(747) 400-1015

NPI assigned

Nov 10, 2025

Organization subpart

No

Name

Artak Mkhitaryan

Title

Ceo

Phone

(747) 400-1014

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 10, 2025.

{
    "created_epoch": "1762732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762732800000",
    "number": "1962372219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 418A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033663",
            "telephone_number": "747-400-1014",
            "fax_number": "747-400-1015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W LEXINGTON DR STE 418A",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033663",
            "telephone_number": "747-400-1014",
            "fax_number": "747-400-1015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVEHEAL WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-10",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "MKHITARYAN",
        "authorized_official_first_name": "ARTAK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "747-400-1014"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.