# WOODBURY ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124563564
- **Authorized official:** JOHN CONSTABLE (BUSINESS MANAGER)
- **Authorized official phone:** (949) 232-1988

## Contact information

- **Practice address:** 9891 IRVINE CENTER DR, SUITE 200, IRVINE, CA 92618-4317
- **Practice address phone:** (949) 232-1988
- **Practice address fax:** (949) 232-1983
- **Mailing address:** 9891 IRVINE CENTER DR, SUITE 200, IRVINE, CA 92618-4317
- **Mailing address phone:** (949) 232-1988
- **Mailing address fax:** (949) 232-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/20/2016
- **Last updated:** 01/19/2017
