WOODMAN MEDICAL & DENTAL CARE INC NPI 1194911206

NPI Information

  • NPI: 1194911206
  • Provider Name: WOODMAN MEDICAL & DENTAL CARE INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Doing Business As: WOODMAN MEDICAL & DENTAL CARE INC.
  • CLIA Number: 05D0928727
  • Address: 8725 WOODMAN AVE
    ARLETA, CA
    ZIP 91331
  • Phone: (818) 891-4455

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NPI Details

WOODMAN MEDICAL & DENTAL CARE INC is a general practice in Arleta, 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 WOODMAN MEDICAL & DENTAL CARE INC NPI is 1194911206. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Woodman Medical & Dental Care Inc..

The provider's business location address is:

8725 WOODMAN AVE
ARLETA, CA
ZIP 91331-560
Phone: (818) 891-4455
Fax: (818) 891-5583

The provider's authorized official is Jahanbakhsh Nouri .
The authorized official title is M.d and has the following contact phone number (818) 891-4455.

The CLIA number assigned to this NPI record is 05D0928727 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/21/2007 and was last updated on 8/3/2023.

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
100A534841MEDICAIDCALIFORNIA

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: 3/30/2025

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