ELITE WOUND CARE & MEDICAL SERVICES, INC
NPI 1275211138
Clinic/Center - Medical Specialty in Sherman Oaks, CA
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 05D2315329
- CLIA Cert. Type: Other - CLINIC/CENTER
- CLIA Exp. Date: 12-10-2026
About ELITE WOUND CARE & MEDICAL SERVICES, INC
This page provides the complete NPI Profile along with additional information for Elite Wound Care & Medical Services, Inc, a provider established in Sherman Oaks, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1275211138 assigned on July 2023. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Julie S Grand (Ceo)
- NPI
- 1275211138 Verify this NPI
- Provider Name
- ELITE WOUND CARE & MEDICAL SERVICES, INC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4312 WOODMAN AVE STE 300 SHERMAN OAKS, CA 91423
- Location Phone
- (747) 877-2788
- Location Fax
- (747) 877-2886
- Mailing Address
- 4312 WOODMAN AVE STE 300 SHERMAN OAKS, CA 91423
- Mailing Phone
- (747) 877-2788
- Mailing Fax
- (747) 877-2886
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2023
- Last Update Date
- 02-11-2026
- Code Navigator
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
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2315329
- Facility Type
- Other - CLINIC/CENTER
- Certificate Effective Date
- December 11, 2024
- Certificate Expiration Date
- December 10, 2026
- Laboratory Director
- RAJIV H. BHUVA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Elite Wound Care & Medical Services, Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
SHERMAN OAKS, CA 91423
SHERMAN OAKS, CA 91423
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275211138, enumerated as an "organization" on July 10, 2023.
The provider is located at 4312 WOODMAN AVE STE 300 SHERMAN OAKS, CA 91423 and the phone number is (747) 877-2788.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
