Healthcare Provider Details

I. General information

NPI: 1841365137
Provider Name (Legal Business Name): RICHARD IRVING WOODS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1640 NEWPORT BLVD STE 460
COSTA MESA CA
92627-7738
US

IV. Provider business mailing address

393 HOSPITAL RD
NEWPORT BEACH CA
92663-3501
US

V. Phone/Fax

Practice location:
  • Phone: 866-872-6456
  • Fax:
Mailing address:
  • Phone: 949-303-8727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberG39799
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: