Woodvic Medical Care and Clinic, Corp

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WOODVIC MEDICAL CARE AND CLINIC, CORP

Practice address

13653 Victory Blvd
Van Nuys, CA 91401-1735

Phone

(818) 988-9825

Fax

(818) 988-9305

NPI assigned

Oct 15, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Alla Koroleva

Title

Owner

Phone

(818) 988-9825

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1023343571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13653 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011735",
            "telephone_number": "818-988-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13653 VICTORY BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011735",
            "telephone_number": "818-988-9825",
            "fax_number": "818-988-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODVIC MEDICAL CARE AND CLINIC, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-15",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "KOROLEVA",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-988-9825",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nam Woo
• Bonnie Lou Wood
• Woodman Healthcare Center LLC
• Woodman Medical Care and Clinic
• Woodvic Medical Care and Clinic
• Woodvic Medical Management, Inc
• Samuel Grayson Woolf
• World Class Home Healthcare Inc
• World Class Hospice Inc
• Mark William Worrell

• General Practice Physician in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.