Provider Demographics
NPI:1720975212
Name:WOOD, GARRETT (CCHT, NBC-HWC, PCC)
Entity type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:WOOD
Suffix:
Gender:M
Credentials:CCHT, NBC-HWC, PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8208 ANSEL
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-0139
Mailing Address - Country:US
Mailing Address - Phone:714-328-8783
Mailing Address - Fax:
Practice Address - Street 1:8208 ANSEL
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-0139
Practice Address - Country:US
Practice Address - Phone:714-328-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA-3888951171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach