Organization Active NPI

Lawrence a Wood M.D. a Medical Corporation

  • Ophthalmology Physician
  • San Diego, CA
National Provider Identifier
1265613749
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C43071 Issued in CA
Legal business name
LAWRENCE A WOOD M.D. A MEDICAL CORPORATION
Practice address
10531 4S Commons Dr
Suite #168
San Diego, CA 92127-3517
Phone
(858) 675-2020
Fax
(858) 675-2036
NPI assigned
Nov 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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

Authorized official

Name
Dr. Lawrence Alvin Wood, M.D.
Title
Provider/Owner
Phone
(858) 675-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X C43071 CA Primary

Addresses

Primary practice location

10531 4S Commons Dr
Suite #168
San Diego, CA 92127-3517

Mailing address

10531 4S Commons Dr
Suite #168
San Diego, CA 92127-3517
Phone (858) 675-2020

National Provider Directory

National Provider Directory

Locations

10531 4S Commons Dr
Ste 168
San Diego, CA 92127
Phone (858) 675-2020

NPI Registry JSON

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1265613749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR",
            "address_2": "SUITE #168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-675-2020",
            "fax_number": "858-675-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10531 4S COMMONS DR",
            "address_2": "SUITE #168",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273517",
            "telephone_number": "858-675-2020",
            "fax_number": "858-675-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE A WOOD M.D. A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "ALVIN",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "858-675-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C43071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; 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.