Provider Demographics
NPI:1669689691
Name:DON R WOLFF MD INC
Entity Type:Organization
Organization Name:DON R WOLFF MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:R
Authorized Official - Last Name:WOLFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-256-8464
Mailing Address - Street 1:1867 YGNACIO VALLEY RD # 383
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3214
Mailing Address - Country:US
Mailing Address - Phone:925-256-8464
Mailing Address - Fax:925-256-8320
Practice Address - Street 1:2021 YGNACIO VALLEY RD STE C102
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3382
Practice Address - Country:US
Practice Address - Phone:925-256-8464
Practice Address - Fax:925-256-8320
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA789840207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty