Provider Demographics
NPI:1063396596
Name:PRECISION WOUND PMC INC
Entity type:Organization
Organization Name:PRECISION WOUND PMC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:GOVIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-297-0908
Mailing Address - Street 1:646 SOUTH BARRANCA AVE
Mailing Address - Street 2:ROOM A
Mailing Address - City:LOS ANGELES
Mailing Address - State:FL
Mailing Address - Zip Code:91273
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:646 SOUTH BARRANCA AVE
Practice Address - Street 2:ROOM A
Practice Address - City:LOS ANGELES
Practice Address - State:FL
Practice Address - Zip Code:91273
Practice Address - Country:US
Practice Address - Phone:626-297-0905
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WW0000XNursing Service ProvidersRegistered NurseWound CareGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty