Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | E4226 | CA |
N | 213ES0131X | Foot Surgery | E4226 | CA |
NPI | 1144257627 |
---|---|
Provider Name | Dr. Jennifer H. Woo |
First Address | N Hollywood, CA 91606-1615 |
Second Address | N Hollywood, CA 91606-1615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 11/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E42260 | (05) | CA |
U76896 | (02) | CA |