Healthcare Provider Details

I. General information

NPI: 1619180569
Provider Name (Legal Business Name): SINDA WOODS ALTHOEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SINDA WOODS OSBURN M.D.

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 10/14/2021
Certification Date: 10/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2212 E 4TH ST
SANTA ANA CA
92705-3870
US

IV. Provider business mailing address

2212 E 4TH ST
SANTA ANA CA
92705-3870
US

V. Phone/Fax

Practice location:
  • Phone: 714-288-3230
  • Fax: 714-289-2655
Mailing address:
  • Phone: 714-288-3230
  • Fax: 714-289-2655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA88978
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: