Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advance Wound Care Pros

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1629861844

Advance Wound Care Pros is an Adolescent Medicine (Family Medicine) Physician in Van Nuys, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2

Practice location Address checks out

6257 Van Nuys Blvd Ste A
Van Nuys, CA 91401-2733
Phone: (818) 939-6289
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X

Record details

NPI number1629861844
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gevork Ekimyan — Manager · (818) 939-6289
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address6257 Van Nuys Blvd Ste A, Van Nuys, CA 91401-2733