MEDICARE: DR. JOHN LAWRENCE GARWOOD MD

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	207W00000X	Ophthalmology Physician	G079986	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427057959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN LAWRENCE GARWOOD MD

Provider Business Mailing Address
First Line	:	1301 20TH ST
Second Line	:	SUITE 250
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-828-7494
Fax Number	:	310-315-0290

Provider Business Practice Location Address
First Line	:	1301 20TH ST
Second Line	:	SUITE 250
City	:	SANTA MONICA
State	:	CA
Zip	:	90404-2050
Country	:	US
Telephone Number	:	310-828-7494
Fax Number	:	310-315-0290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	02/18/2009

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