Organization Name: | ARTIS WOODWARD MD INC |
NPI Number: | 1023272788 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTIS WOODWARD (PRESIDENT) |
Mailing Address: | 2120 W 8th St #330 Los Angeles |
State: | CA US |
Postal Code: | 900574019 |
Phone Number: | 2133852400 |
Fax Number: | 2133852403 |
NPI Enumeration Date: | 07/11/2008 |
NPI Last Update Date: | 07/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A40488 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |