Individual
DR. RUSSELL J WOJCIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
419 1/2 N LARCHMONT BLVD, LOS ANGELES, CA 90004-3013
(213) 385-1266
Mailing address
12807 ELKWOOD ST, NORTH HOLLYWOOD, CA 91605-2035
(213) 385-1266
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E19200
—
CA
Enumeration date
01/25/2007
Last updated
12/12/2008
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