Most Relevant Information
Provider Data
| NPI Number: | 1003682410 |
| Provider Name: | MARK WOOD |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | PA64343 |
Most Important Dates
| Enumeration Date: | 11/27/2023 |
| Last Updated: | 08/23/2024 |
Provider Practice Location
5000 VAN NUYS BLVD STE 205
SHERMAN OAKS
CA
914031717
Practice Location Phone/Fax
| Phone: | 8188502243 |
| Fax: | 6613606380 |
Provider Mailing Location
5000 VAN NUYS BLVD STE 205
SHERMAN OAKS
CA
914031717
Provider Mailing Phone/Fax
| Phone: | |
| Fax: | 6613606380 |