OrganizationActive
Skilled Wound Care
NPI 1134569783 · Surgery Physician · Los Angeles, CA
Provider details
- NPI number
- 1134569783
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bardia Anvar, President(310) 445-5999
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
12021 Wilshire Blvd # 745
Los Angeles, CA 90025-1206
Phone: (310) 348-1900
Street-level locationGet directions
Mailing address
12021 Wilshire Blvd Ste 745
Los Angeles, CA 90025-1206
Registry dates
- Enumerated
- 2013-06-27
- Last updated
- 2013-06-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.