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1871586685

NPI Code Detail

MEDICARE: DAVID L WOOD MD

MEDICARE: DAVID L WOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	A70599	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z214287	OTHER	AZ	MEDICARE PTAN
7	P00131105	OTHER		PGBA (RR MEDICARE)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	138582	OTHER	VT	ANTHEM
4	4085050	OTHER	TN	BCBS
5	R06903	OTHER	TN	JOHN DEERE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	Z148084	OTHER	AZ	PTAN

General Provider Information

NPI Number	:	1871586685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID L WOOD MD

Provider Business Mailing Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1701
Country	:	US
Telephone Number	:	562-933-1550
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1701
Country	:	US
Telephone Number	:	562-933-1550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	05/06/2026

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Directions to “ DAVID L WOOD MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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