Provider Demographics
NPI:1477627784
Name:WOO, HAROLD S (DO)
Entity Type:Individual
Prefix:
First Name:HAROLD
Middle Name:S
Last Name:WOO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 CONIFER CT
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2614
Mailing Address - Country:US
Mailing Address - Phone:925-708-2038
Mailing Address - Fax:
Practice Address - Street 1:324 CONIFER CT
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2614
Practice Address - Country:US
Practice Address - Phone:925-708-2038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A9500207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
020A95000Medicare ID - Type Unspecified