Healthcare Provider Details

I. General information

NPI: 1336145184
Provider Name (Legal Business Name): JAMES B WOOD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2005
Last Update Date: 03/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

572 RIO LINDO AVE STE 203
CHICO CA
95926
US

IV. Provider business mailing address

572 RIO LINDO AVE STE 203
CHICO CA
95926
US

V. Phone/Fax

Practice location:
  • Phone: 530-342-4860
  • Fax: 530-342-4844
Mailing address:
  • Phone: 530-342-4860
  • Fax: 530-342-4844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA22858
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: