MEDICARE: DR. DAVID K. WOODRUFF AU.D

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	237600000X	Audiologist-Hearing Aid Fitter	AU1111, HA2516	CA
2	237600000X	Audiologist-Hearing Aid Fitter	AU1111	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851501977
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID K. WOODRUFF AU.D

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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	10/08/2010

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