Individual
LARRY J WOODGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
(661) 951-4327
Mailing address
101 S 1ST ST, SUITE 1000, BURBANK, CA 91502-1928
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1056313230
CA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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