Dr. Brian Michael Woo
Dentist Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology Trauma Surgeon and 2 more
290 North Wayte Lane
Fresno
, California 93701-1324
Dr. Brian Michael Woo
Dentist Oral and Maxillofacial Surgeon Oral and Maxillofacial Pathology Trauma Surgeon and 2 more
290 North Wayte Lane
Fresno
, California 93701-1324
(559) 459-5120
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About
Features
Specialties
- Dentist
- Oral and Maxillofacial Pathology
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
- Plastic and Reconstructive Surgery
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Dr. Brian Michael Woo
- 290 North Wayte Lane
- Fresno, CA
- Zip : 93701-1324
- Phone : (559) 459-5120
Second Address
- Dr. Brian Michael Woo
- 290 North Wayte Lane
- Fresno, CA
- Zip : 93701-1324
- Phone : (559) 459-5120
Reviews
FAQs
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Is Dr. Brian Michael Woo a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 122300000X | Dentist | 50017 | CA |
| N | 1223P0106X | Oral and Maxillofacial Pathology | 50017 | CA |
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 50017 | CA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | A107428 | CA |
| N | 2086S0122X | Plastic and Reconstructive Surgery | A107428 | CA |
| N | 2086S0127X | Trauma Surgeon | A107428 | CA |
National Provider Identifier
| NPI | 1558579144 |
|---|---|
| Provider Name | Dr. Brian Michael Woo |
| First Address | Fresno, CA 93701-1324 |
| Second Address | Fresno, CA 93701-1324 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2007 |
| Last Update Date | 15/04/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 50017 | DENTAL LICENSE (01) | CA |
| A107428 | MEDICAL LICENSE (01) | CA |
| BW8380381 | DEA NUMBER (01) | CA |
| GA 1484 | GENERAL ANESTHESIA LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.