Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | A113935 | CA |
NPI | 1053545129 |
---|---|
Provider Name | Christopher Woehrstein |
First Address | Inglewood, CA 90301-4502 |
Second Address | Inglewood, CA 90301-4502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/05/2009 |
Last Update Date | 30/07/2015 |