Lee A Wood Chiropractic Inc | |
6986 El Camino Real Ste F Carlsbad CA 92009-4111 | |
(760) 438-9548 | |
(760) 438-1603 |
Full Name | Lee A Wood Chiropractic Inc |
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Speciality | Clinic/Center |
Location | 6986 El Camino Real Ste F, Carlsbad, California |
Authorized Official Name and Position | Lee Allen Wood (CHIROPRACTOR/OWNER) |
Authorized Official Contact | 7605186076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lee A Wood Chiropractic Inc 3336 Venado St Carlsbad CA 92009-7849 Ph: (760) 518-9546 | Lee A Wood Chiropractic Inc 6986 El Camino Real Ste F Carlsbad CA 92009-4111 Ph: (760) 438-9548 |
NPI Number | 1306350095 |
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Provider Enumeration Date | 11/17/2017 |
Last Update Date | 11/17/2017 |
Medicare PECOS PAC ID | 6507892577 |
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Medicare Enrollment ID | O20050711000838 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306350095 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 12586 (California) | Primary |
Provider Name | Lee A Wood |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518471200 PECOS PAC ID: 6305872375 Enrollment ID: I20180119000512 |
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