Individual
DR. STUART WOLF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3621 MLK JR BLVD STE 6, LYNWOOD, CA 90262-3512
(323) 566-1675
(323) 566-0325
Mailing address
PO BOX 1867, SOUTH GATE, CA 90280-1867
(323) 566-1675
(323) 566-0325
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
835960
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A359600
—
CA
Enumeration date
10/24/2006
Last updated
06/16/2023
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