Provider Demographics
NPI:1952837429
Name:WOODFORD, SHEILA (LAC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:WOODFORD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23485 PARK SORRENTO
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1301
Mailing Address - Country:US
Mailing Address - Phone:310-871-9497
Mailing Address - Fax:
Practice Address - Street 1:23564 CALABASAS RD STE 207
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1339
Practice Address - Country:US
Practice Address - Phone:424-781-7884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17569171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist