WOUND CARE MEDICAL GROUP
NPI 1114661121
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: January 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2023, May 23, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Wound Care Medical Group NPPES

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

WOUND CARE MEDICAL GROUP (NPI 1114661121) is a healthcare organization registered as a general practice in Inglewood, California and active in the NPI registry since April 2022. The organization lists Christopher Ayodele Otiko, President, as its authorized official.

NPPES Registry Identity

NPI1114661121
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWOUND CARE MEDICAL GROUP
Location Address301 N PRAIRIE AVE STE 202Inglewood, CA 90301-4509
Mailing Address5901 W Century Blvd Ste 750Los Angeles, CA 90045-5443 · (323) 480-4075
Organization SubpartNo
Authorized OfficialChristopher Ayodele OtikoPresident · (818) 836-2475
Enumeration DateApril 25, 2022
Last NPPES UpdateJanuary 9, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2023
NPI 1114661121 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
301 N PRAIRIE AVE STE 202, Inglewood, CA 90301

Other Providers at the Same Location NPPES 6

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

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
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

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 Care Medical Group's NPI number?

The NPI number for Wound Care Medical Group is 1114661121. It was assigned to this organization in the NPPES registry on April 25, 2022.

Where is Wound Care Medical Group located?

Wound Care Medical Group is located at 301 N Prairie Ave Ste 202, Inglewood, CA 90301. The listed phone number is (323) 480-4075.

What is Wound Care Medical Group'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 Care Medical Group was last updated on January 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.