ELITE WOUND SPECIALIST PC
NPI 1154148997
Clinic/Center - Health Service in Van Nuys, CA

Active since September 23, 2024
14553 DELANO ST STE 306, VAN NUYS, CA 91411(310) 621-9038 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 19, 2026, Sep 23, 2024 (2 updates tracked since 2024).

About Elite Wound Specialist Pc NPPES

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

ELITE WOUND SPECIALIST PC (NPI 1154148997) is a healthcare organization registered as a health service in Van Nuys, California and active in the NPI registry since September 2024. The organization lists Shima Pezeshki, Shareholder, as its authorized official.

NPPES Registry Identity

NPI1154148997
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameELITE WOUND SPECIALIST PC
Location Address14553 DELANO ST STE 306Van Nuys, CA 91411-2858
Mailing Address325 N Maple Dr, Po Box 5772Beverly Hills, CA 90209-6002 · (310) 621-9038
Organization SubpartNo
Authorized OfficialShima PezeshkiShareholder · (310) 500-9068
Enumeration DateSeptember 23, 2024
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1154148997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
14553 DELANO ST STE 306, Van Nuys, CA 91411

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 Elite Wound Specialist PC's NPI number?

The NPI number for Elite Wound Specialist PC is 1154148997. It was assigned to this organization in the NPPES registry on September 23, 2024.

Where is Elite Wound Specialist PC located?

Elite Wound Specialist PC is located at 14553 Delano St Ste 306, Van Nuys, CA 91411. The listed phone number is (310) 621-9038.

What is Elite Wound Specialist PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Elite Wound Specialist PC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.