Individual
KATRINA E WOODHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 WASHINGTON ST STE 502, SAN DIEGO, CA 92103-2238
(619) 542-0013
(858) 257-1648
Mailing address
31915 RANCHO CALIFORNIA RD, STE 200216, TEMECULA, CA 92591-5132
(858) 401-2738
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A89622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00611073
RAILROAD MEDICARE
CA
Enumeration date
07/11/2006
Last updated
12/30/2020
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