WOODVIC MEDICAL CARE AND CLINIC CORP NPI 1023343571

NPI Information

  • NPI: 1023343571
  • Provider Name: WOODVIC MEDICAL CARE AND CLINIC, CORP
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 13653 VICTORY BLVD
    VAN NUYS, CA
    ZIP 91401
  • Phone: (818) 988-9825

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NPI Details

WOODVIC MEDICAL CARE AND CLINIC, CORP is a general practice in Van Nuys, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WOODVIC MEDICAL CARE AND CLINIC, CORP NPI is 1023343571. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13653 VICTORY BLVD
VAN NUYS, CA
ZIP 91401-735
Phone: (818) 988-9825
Fax: (818) 988-9305

The provider's authorized official is Alla Koroleva .
The authorized official title is Owner and has the following contact phone number (818) 988-9825.

The enumeration date for this NPI number is 10/15/2009 and was last updated on 2/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F96355MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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