Provider Demographics
NPI:1225103161
Name:WOO, SANDI T (PA-C)
Entity Type:Individual
Prefix:
First Name:SANDI
Middle Name:T
Last Name:WOO
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2855 MITCHELL DR STE 223
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-1609
Mailing Address - Country:US
Mailing Address - Phone:510-537-3556
Mailing Address - Fax:510-537-3610
Practice Address - Street 1:20126 STANTON AVE #100
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5367
Practice Address - Country:US
Practice Address - Phone:510-537-3556
Practice Address - Fax:510-537-3610
Is Sole Proprietor?:No
Enumeration Date:2006-11-22
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA18589363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA18589OtherPA LICENSE