Healthcare Provider Details

I. General information

NPI: 1023984028
Provider Name (Legal Business Name): DANIEL WOO MD P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4511 ROSEMEAD BLVD
PICO RIVERA CA
90660-2032
US

IV. Provider business mailing address

1121 CORONET DR
RIVERSIDE CA
92506-5606
US

V. Phone/Fax

Practice location:
  • Phone: 562-692-3388
  • Fax: 281-664-3522
Mailing address:
  • Phone: 203-982-8789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DANIEL WOO
Title or Position: CEO
Credential: MD
Phone: 203-982-8789