Healthcare Provider Details

I. General information

NPI: 1427403021
Provider Name (Legal Business Name): MONA WOOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2016
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 PASTEUR DR RM HC 435
STANFORD CA
94305-2200
US

IV. Provider business mailing address

300 PASTEUR DRIVE, ROOM HC435
STANFORD CA
94305
US

V. Phone/Fax

Practice location:
  • Phone: 650-723-5948
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA150913
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: