Provider Demographics
NPI:1790884278
Name:ARDEN WOOD INC
Entity Type:Organization
Organization Name:ARDEN WOOD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:415-681-5500
Mailing Address - Street 1:445 WAWONA STREET
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94116-3058
Mailing Address - Country:US
Mailing Address - Phone:415-681-5500
Mailing Address - Fax:415-379-2101
Practice Address - Street 1:445 WAWONA STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94116-3058
Practice Address - Country:US
Practice Address - Phone:415-681-5500
Practice Address - Fax:415-379-2101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution
Provider Identifiers
StateIdentifier IDID TypeIssuer
051993Medicare ID - Type Unspecified