Advanced Wound Care Group
NPI 1104560119ActiveOrganization· General Practice· Inglewood, CA
General Practice in Inglewood, California, registered in NPPES in April 2022. The authorized official on file is Christopher Ayodele Otiko, MD, President.
Overview
| NPI | 1104560119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2022 |
| Last updated in NPPES | May 23, 2022 |
| Certified by provider | May 23, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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