Provider Demographics
NPI:1225287931
Name:RICHARD I. WOODS, M.D., INC.
Entity Type:Organization
Organization Name:RICHARD I. WOODS, M.D., INC.
Other - Org Name:PACIFIC ORTHOPAEDIC SPECIALISTS MEDICAL CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPERATIONS MGR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROUSSET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-547-5500
Mailing Address - Street 1:2010 E 1ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4079
Mailing Address - Country:US
Mailing Address - Phone:714-547-5500
Mailing Address - Fax:714-547-5515
Practice Address - Street 1:2010 E 1ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4079
Practice Address - Country:US
Practice Address - Phone:714-547-5500
Practice Address - Fax:714-547-5515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA92125Medicare UPIN