Individual
MR. MICHAEL DAVID WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
2530 H VISTA WAY, OCEANSIDE, CA 92054
(760) 435-9390
(760) 435-9393
Mailing address
2530 H VISTA WAY, OCEANSIDE, CA 92054
(760) 435-9390
(760) 435-9393
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
Primary
AC10818
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007357745
AETNA
CA
01
—
671144
CONNECTICARE
CA
01
—
CA0108180
BLUE SHIELD
—
Enumeration date
11/27/2006
Last updated
07/08/2007
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