Provider Demographics
NPI:1841365137
Name:WOODS, RICHARD IRVING (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:IRVING
Last Name:WOODS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2010 E 1ST ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-4079
Mailing Address - Country:US
Mailing Address - Phone:714-547-5500
Mailing Address - Fax:714-547-5515
Practice Address - Street 1:2010 E 1ST ST
Practice Address - Street 2:SUITE 200
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-4079
Practice Address - Country:US
Practice Address - Phone:714-547-5500
Practice Address - Fax:714-547-5515
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG39799207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG39799Medicare ID - Type Unspecified
CAA92125Medicare UPIN