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WOUND PROS DOCTORS
NPI 1104571371
General Practice in Marina Del Rey, CA

Active since February 16, 2022
4640 ADMIRALTY WAY STE 500, MARINA DEL REY, CA 90292(818) 836-2475(323) 433-9177 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 9, 2023, May 23, 2022, Feb 16, 2022 (3 updates tracked since 2022).

About Wound Pros Doctors NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WOUND PROS DOCTORS (NPI 1104571371) is a healthcare organization registered as a general practice in Marina Del Rey, California and active in the NPI registry since February 2022. The organization lists Christopher Otiko, President, as its authorized official.

NPPES Registry Identity

NPI1104571371
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWOUND PROS DOCTORS
Location Address4640 ADMIRALTY WAY STE 500Marina Del Rey, CA 90292-6636
Mailing Address5901 W Century Blvd Ste 750Los Angeles, CA 90045-5443 · (323) 480-4075 · Fax (323) 433-9177
Phone(818) 836-2475
Fax(323) 433-9177
Organization SubpartNo
Authorized OfficialChristopher OtikoPresident · (818) 836-2475
Enumeration DateFebruary 16, 2022
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
✔ NPI 1104571371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
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
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
4640 ADMIRALTY WAY STE 500, Marina Del Rey, CA 90292
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. BARBARA MESCHER MFT, ATR, BC
Marriage & Family Therapist
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (310) 592-9584
BRENDA IRENE LAPP
Nurse Practitioner (Family)
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451
NADEZHDA PROTASOVITSKAYA NP
Nurse Practitioner
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451
KATRINA JOYCE PACHECO ANG FNP-C
Nurse Practitioner (Family)
4640 ADMIRALTY WAY STE 500
MARINA DEL REY, CA 90292
Los Angeles County (888) 880-3451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wound Pros Doctors's NPI number?

The NPI number for Wound Pros Doctors is 1104571371. It was assigned to this organization in the NPPES registry on February 16, 2022.

Where is Wound Pros Doctors located?

Wound Pros Doctors is located at 4640 Admiralty Way Ste 500, Marina Del Rey, CA 90292. The listed phone number is (818) 836-2475.

What is Wound Pros Doctors's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Wound Pros Doctors was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.