OrganizationActive
Wound Pros Doctors
NPI 1104571371 · General Practice Physician · Marina Del Rey, CA
Provider details
- NPI number
- 1104571371
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Otiko, President(818) 836-2475
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4640 Admiralty Way Ste 500
Marina Del Rey, CA 90292-6636
Phone: (818) 836-2475
Fax: (323) 433-9177
Street-level locationGet directions
Mailing address
5901 W Century Blvd Ste 750
Los Angeles, CA 90045-5443
Registry dates
- Enumerated
- 2022-02-16
- Last updated
- 2023-01-09
- Certified
- 2023-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.