ADVANCED WOUND CARE GROUP
NPI 1104560119
General Practice in Inglewood, CA

Active since April 25, 2022
301 N PRAIRIE AVE STE 202, INGLEWOOD, CA 90301(323) 480-4075 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 23, 2022, Apr 25, 2022 (2 updates tracked since 2022).

  • Organization
  • General Practice

About ADVANCED WOUND CARE GROUP

This page provides the complete NPI Profile along with additional information for Advanced Wound Care Group, a primary care provider established in Inglewood, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1104560119 assigned on April 2022. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Christopher Ayodele Otiko Md (President)

NPI
1104560119 Verify this NPI
Provider Name
ADVANCED WOUND CARE GROUP
Entity Type
Organization
Location Address
301 N PRAIRIE AVE STE 202 INGLEWOOD, CA 90301
Location Phone
(323) 480-4075
Mailing Address
4640 ADMIRALTY WAY STE 500 MARINA DEL REY, CA 90292
Mailing Phone
(818) 836-2475
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2022
Last Update Date
05-23-2022
Code Navigator

A primary care provider (PCP) like Advanced Wound Care Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CHRISTOPHER AYODELE OTIKO MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(818) 836-2475

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
General Practice
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Physician Assistant
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301
Registered Nurse
301 N PRAIRIE AVE STE 202
INGLEWOOD, CA 90301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104560119, enumerated as an "organization" on April 25, 2022.

The provider is located at 301 N PRAIRIE AVE STE 202 INGLEWOOD, CA 90301 and the phone number is (323) 480-4075.

General Practice with taxonomy code 208D00000X.