Organization
BRUCE A WOODLING MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE A WOODLING MD (PRESIDENT)
(805) 482-6643
Entity
Organization
Contact information
Practice address
148 N BRENT ST STE 102, VENTURA, CA 93003-2825
(805) 482-6643
Mailing address
PO BOX 1088, VENTURA, CA 93002-1088
(805) 482-6643
(805) 388-5546
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
G24570
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G24570
—
CA
01
—
1457433971
TYPE 1 NPI
CA
01
—
G24570
STATE LICENSE
CA
Enumeration date
07/30/2007
Last updated
02/06/2024
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