Dr. Ian Woo Ms MD DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

50018 Issued in CA

Legal business name

DR. IAN WOO MS MD DDS

Practice address

763 Cereza Dr
Monterey Park, CA 91754-2317

Phone

(323) 369-1066

NPI assigned

Jul 2, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Ian Woo, MS MD DDSNPI 1679736425

Title

Owner

Phone

(323) 369-1066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ian Woo, MS, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Monterey Park, CA
  • NPI 1679736425
  NPD (past) Authorized official

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

{
    "created_epoch": "1404259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1710393418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "763 CEREZA DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542317",
            "telephone_number": "323-369-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "763 CEREZA DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917542317",
            "telephone_number": "323-369-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. IAN WOO MS MD DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-02",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-369-1066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS MD DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "50018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Oral and Maxillofacial Surgery (Dentist) in Monterey Park, CA
• Providers in Monterey Park, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.