MEDICARE: DR. KRISTIN LEI WOODS 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	231HA2400X	Assistive Technology Practitioner Audiologist	2545	CA
2	231HA2500X	Assistive Technology Supplier Audiologist	2545	CA
3	237600000X	Audiologist-Hearing Aid Fitter	2545	CA
4	231H00000X	Audiologist	2545	CA

General Provider Information

NPI Number	:	1992983621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTIN LEI WOODS AU.D.

Provider Business Mailing Address
First Line	:	2020 CASSIA RD
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-4211
Country	:	US
Telephone Number	:	310-699-3040
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 CASSIA RD
Second Line	:
City	:	CARLSBAD
State	:	CA
Zip	:	92009-4211
Country	:	US
Telephone Number	:	310-699-3040
Fax Number	:

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

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	07/08/2020

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