Provider Demographics
NPI:1023201100
Name:WOODWARD, ARTIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ARTIS
Middle Name:
Last Name:WOODWARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4477 W 118TH ST
Mailing Address - Street 2:STE 300
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250
Mailing Address - Country:US
Mailing Address - Phone:310-531-8010
Mailing Address - Fax:310-217-7564
Practice Address - Street 1:4477 W 118TH ST
Practice Address - Street 2:STE 300
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250
Practice Address - Country:US
Practice Address - Phone:310-531-8010
Practice Address - Fax:310-217-7564
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA40488207LP2900X, 207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine