Vein and Wound Center of La LLC · Surgery Physician

614 Wilcox Ave, Los Angeles, CA 90004-1113

Overview

Vein and Wound Center of La LLC is a Surgery Physician (organization) practicing in Los Angeles, California. The National Provider Identifier (NPI) is #1629869060, which was assigned on May 15, 2025, and the registration record was last updated on May 15, 2025. The practitioner's main practice location is at 614 Wilcox Ave, Los Angeles, CA 90004-1113; the contact telephone number is 7143454288. The primary taxonomy of Vein and Wound Center of La LLC is Surgery Physician (208600000X). The authorized official for Vein and Wound Center of La LLC is Christopher Kim (Owner).

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Provider Information

NPI 1629869060
Entity Type Organization
Organization Name VEIN AND WOUND CENTER OF LA LLC
Provider Name VEIN AND WOUND CENTER OF LA LLC
Practice Address 614 Wilcox Ave
Los Angeles
CA 90004-1113
Practice Telephone 7143454288
Mailing Address 614 Wilcox Ave
Los Angeles
CA 90004-1113
Certification Date 2025-05-15
Enumeration Date 2025-05-15
Last Update Date 2025-05-15
Is Organization Subpart N

Authorized Official Information

Official Name CHRISTOPHER KIM
Official Title OWNER
Credential MD
Telephone 7143454288

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208600000XSurgery193200000X MULTI-SPECIALTY GROUP

Taxonomy Information

Primary Taxonomy

Code 208600000X
Taxonomy Surgery Physician
Classification Surgery
Grouping Allopathic & Osteopathic Physicians
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Regional West Physicians Clinic 3911 Avenue B Ste 1100, Scottsbluff, NE 69361-4617Surgery Physician2026-02-05
Allpeace Wound Care 24328 Vermont Ave Ste 300l, Harbor City, CA 90710-2314Surgery Physician2026-02-05
Urgent Specialty Associates of Missouri LLC 19550 E 39th St S Ste 325, Independence, MO 64057-2310Surgery Physician2026-01-26
Coastline Surgery Center of California PC 2200 Pacific Coast Hwy Ste 215, Hermosa Beach, CA 90254-2701Surgery Physician2026-01-22
Locke Health LLC 2308 Bissonnet St Unit B, Houston, TX 77005-1155Surgery Physician2026-01-16
Lascano and Associates Medical Corporation 2755 Herndon Ave, Clovis, CA 93611-6800Surgery Physician2026-01-27
Oaoc, LLC 11351 Random Hills Rd Ste 500, Fairfax, VA 22030-6081Surgery Physician2026-02-02
Hechtman Surgery PC 2010 Welsh Valley Rd, Malvern, PA 19355-9700Surgery Physician2026-01-23
North Indy Surgical LLC 2160 W 86th St Ste 202a, Indianapolis, IN 46260-1908Surgery Physician2026-01-22
Susan M Apte Md 9441 Health Center Dr, Land O Lakes, FL 34637-5837Surgery Physician2026-01-15
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Location Information

Street Address 614 WILCOX AVE
City LOS ANGELES
State CA
Zip Code 90004-1113
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Nonna Aleksandrovna Milyavskaya 627 N Larchmont Blvd, Los Angeles, CA 90004-1307Marriage & Family Therapist2025-07-19
Elizabeth Thompson Moley 607 N St Andrews Pl Apt 1, Los Angeles, CA 90004-1798Clinical Social Worker2025-08-25
Rose Howell Sivilli 584 1/2 N Larchmont Blvd, Los Angeles, CA 90004-1306Psychiatry Physician2018-06-04
Mandeep Singh, Md, Mba, Professional Corporation 627 N Larchmont Blvd, Los Angeles, CA 90004-1307Adult Mental Health Clinic/Center2025-06-25
Dr. Jennifer Arias, Psychotherapy Inc. 505 N Larchmont Blvd, Los Angeles, CA 90004Adult Mental Health Clinic/Center2025-06-03
Norydel Tuiza Laureta 321 N Hobart Blvd, Los Angeles, CA 90004-1803Registered Nurse2026-01-29
Omer Harari 627 N Larchmont Blvd, Los Angeles, CA 90004-1307Marriage & Family Therapist2018-05-31
Michela Marie Tripp 627 N Larchmont Blvd, Los Angeles, CA 90004-1307Social Worker2017-09-05
Saoirse Linder 627 N Larchmont Blvd, Los Angeles, CA 90004-1307Marriage & Family Therapist2025-07-17
Michael Perez 423 N Hoover St, Los Angeles, CA 90004Social Worker2024-05-30
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.