Woodruff Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

191592947 Issued in CA

Legal business name

WOODRUFF CARE HOME

Practice address

16409 Woodruff Ave
Bellflower, CA 90706-4911

Phone

(562) 925-6581

NPI assigned

May 15, 2008

Last updated

May 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Michael Bolong, RCS

Title

Administrator

Phone

(562) 925-6581

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210809600000",
    "number": "1578730719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064911",
            "telephone_number": "562-925-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16409 WOODRUFF AVE",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907064911",
            "telephone_number": "562-925-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODRUFF CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A",
        "authorized_official_last_name": "BOLONG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-925-6581",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RCS"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "CA",
            "license": "191592947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Wong
• Victor K. Wong, MD
• William G. Wong, M.D.
• Christopher Woo, PMHNP-BC
• Calvin E. Wood, MD
• Paul H. Woodworth, MD
• Ashleigh Wroten, LMFT
• Hsuyuan Wu, MD
• Huimin Wu, DPT
• Ivan Y. Wu, MD

• Adult Care Home Facility in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Adult Care Home Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.