Individual
DR. BRUCE ARTHUR WOODLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
148 N BRENT ST, SUITE 102, VENTURA, CA 93003-2867
(805) 482-6643
(805) 388-5546
Mailing address
643 CRESTVIEW AVE, CAMARILLO, CA 93010-8434
(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
—
00G245700
—
CA
01
—
G24570
BLUE SHIELD
CA
Enumeration date
10/20/2006
Last updated
07/08/2007
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