Individual
KAREN WOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 526, LOS ANGELES, CA 90095-5310
(310) 206-6294
(310) 267-0189
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A81758
CA
2086S0129X
Vascular Surgery Physician
Primary
A81758
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A817580
BLUE SHIELD PROVIDER NUMBER
CA
05
—
1285889923
—
CA
Enumeration date
11/21/2008
Last updated
12/20/2019
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