Provider Demographics
NPI:1871675116
Name:WOO, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:WOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CENTRE PLAZA DR
Mailing Address - Street 2:DEPT. 425
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-2142
Mailing Address - Country:US
Mailing Address - Phone:323-526-6563
Mailing Address - Fax:323-881-4555
Practice Address - Street 1:201 CENTRE PLAZA DR
Practice Address - Street 2:DEPT. 425
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-2142
Practice Address - Country:US
Practice Address - Phone:323-526-6563
Practice Address - Fax:323-881-4555
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS109301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical