Woodman Ave Corporation

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197600430 Issued in CA

Legal business name

WOODMAN AVE CORPORATION

Practice address

7720 Woodman Ave
Panorama City, CA 91402-6527

Phone

(818) 997-6756

Fax

(818) 997-3004

NPI assigned

Sep 23, 2011

Organization subpart

No

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

Authorized official

Name

Mark Ingber

Title

President

Phone

(818) 997-6756

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1811270077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 WOODMAN AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 WOODMAN AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914026527",
            "telephone_number": "818-997-6756",
            "fax_number": "818-997-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODMAN AVE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "INGBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-997-6756"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197600430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dewey T Wong, PHARM.D.
• Dominic Tan Wong, GNP-BC
• Leanna Wong, PHARM.D.
• Paul J. Wong, MD
• Seoyoung Woo, DO
• Tina J Woolfork, NP
• David Wright
• Sabrina L. Wright, RCP
• Kevin Wu, MD
• Thomas Wu, M.D.

• Assisted Living Facility in Panorama City, CA
• Providers in Panorama City, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.