Healthcare Provider Details

I. General information

NPI: 1063704237
Provider Name (Legal Business Name): JOHN PATRICK WOODS D.O
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2011
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 LINDEN AVE
LONG BEACH CA
90813-3321
US

IV. Provider business mailing address

1050 LINDEN AVE
LONG BEACH CA
90813-3321
US

V. Phone/Fax

Practice location:
  • Phone: 310-554-4127
  • Fax:
Mailing address:
  • Phone: 310-554-4127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number2OA15648
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number20A15648
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: