Healthcare Provider Details

I. General information

NPI: 1568557270
Provider Name (Legal Business Name): WHITNEY L WOODRUFF NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2205 VISTA WAY STE 340
OCEANSIDE CA
92054-5661
US

IV. Provider business mailing address

10790 RANCHO BERNARDO RD
SAN DIEGO CA
92127-5705
US

V. Phone/Fax

Practice location:
  • Phone: 760-704-5870
  • Fax:
Mailing address:
  • Phone: 760-704-5870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP16535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: