Individual
LEA D WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
711 W 17TH ST, COSTA MESA, CA 92627-4350
(949) 209-8953
Mailing address
1305 S PROSPECT AVE, REDONDO BEACH, CA 90277-5115
(832) 693-1158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95028155
CA
Other
Enumeration date
09/04/2023
Last updated
06/15/2026
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