Provider Demographics
NPI:1205475738
Name:WOO-MING MEDICAL GROUP, PC
Entity type:Organization
Organization Name:WOO-MING MEDICAL GROUP, PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOO-MING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-420-2112
Mailing Address - Street 1:4195 N VIKING WAY STE F
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1470
Mailing Address - Country:US
Mailing Address - Phone:562-420-2112
Mailing Address - Fax:562-420-2110
Practice Address - Street 1:4195 N VIKING WAY STE F
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1470
Practice Address - Country:US
Practice Address - Phone:562-420-2112
Practice Address - Fax:562-420-2110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-01
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty