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Organization

CHRISTOPHER J WOODSON MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER J WOODSON MD (OWNER AND PHYSICIAN)
(562) 206-0177
Entity
Organization

Contact information

Practice address
3851 KATELLA AVE, # 375, LOS ALAMITOS, CA 90720-3309
(562) 206-0177
(562) 206-1576
Mailing address
3851 KATELLA AVE, LOS ALAMITOS, CA 90720-3309
(562) 206-0177
(562) 206-1576

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A80613
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1588861488
INDIVIDUAL NPI
CA
Enumeration date
05/27/2016
Last updated
05/27/2016
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