MEDICARE: DAVID K. WOODRUFF, AU.D. AN AUDIOLOGY CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AU1835	CA
2	231H00000X	Audiologist	AU1111	CA
3	237600000X	Audiologist-Hearing Aid Fitter	HA2516	CA
4	237600000X	Audiologist-Hearing Aid Fitter	AU1111	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AU001111	OTHER	CA	MEDI CAL NORTH COUNTY
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255396891
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID K. WOODRUFF, AU.D. AN AUDIOLOGY CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 524
Second Line	:
City	:	RANCHO SANTA FE
State	:	CA
Zip	:	92067-0524
Country	:	US
Telephone Number	:	858-759-8922
Fax Number	:	858-759-8022

Provider Business Practice Location Address
First Line	:	6037 LA GRANADA
Second Line	:	SUITE D
City	:	RANCHO SANTA FE
State	:	CA
Zip	:	92067-0524
Country	:	US
Telephone Number	:	858-759-8922
Fax Number	:	858-759-8022

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DAVID K. WOODRUFF
Credential	:	AU.D
Telephone Number	:	858-759-8922

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	10/14/2010

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