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

Advanced Wound Care Group

Organization General Practice Physician · NPI 1104560119

Advanced Wound Care Group is a General Practice Physician in Inglewood, California. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

301 N Prairie Ave Ste 202
Inglewood, CA 90301-4509
Phone: (323) 480-4075
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X

Record details

NPI number1104560119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Otiko — President · (818) 836-2475
NPI enumeratedApril 25, 2022
Last updated in NPPESMay 23, 2022
Certification dateMay 23, 2022
Mailing address4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292-6636

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