Healthcare Provider Details

I. General information

NPI: 1437248606
Provider Name (Legal Business Name): FRANKLIN G WOO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 06/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9902 BIG SUR DR
HUNTINGTON BEACH CA
92646-5312
US

IV. Provider business mailing address

9902 BIG SUR DR
HUNTINGTON BEACH CA
92646-5312
US

V. Phone/Fax

Practice location:
  • Phone: 714-963-6305
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License Number032947
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085P0229X
TaxonomyPediatric Radiology Physician
License Number032947
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number032947
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number032947
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: