Organization
MARC D. WOLFSOHN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D. WOLFSOHN MD (DIRECTOR/OWNER)
(805) 484-8558
Entity
Organization
Contact information
Practice address
1100 PASEO CAMARILLO, CAMARILLO, CA 93010
(805) 484-8558
(805) 484-3099
Mailing address
P.O. BOX 5457, SAN LUIS OBISPO, CA 93403
(805) 484-8558
(805) 484-3099
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G34454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G344540
—
CA
Enumeration date
06/17/2006
Last updated
12/05/2011
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