Individual
LONDON MICHELLE WOODFOLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9300 CAMPUS POINT DR, LA JOLLA, CA 92037-1300
(800) 926-8273
Mailing address
FILE 57326, LOS ANGELES, CA 90074-7326
(800) 926-8273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
58223
CA
363AM0700X
Medical Physician Assistant
Primary
58223
CA
Other
Enumeration date
03/05/2019
Last updated
03/31/2025
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