Provider Demographics
NPI:1669670832
Name:WOO, DANIEL K (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:K
Last Name:WOO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 CORONET DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-5606
Mailing Address - Country:US
Mailing Address - Phone:203-982-8789
Mailing Address - Fax:
Practice Address - Street 1:4511 ROSEMEAD BLVD
Practice Address - Street 2:
Practice Address - City:PICO RIVERA
Practice Address - State:CA
Practice Address - Zip Code:90660-2032
Practice Address - Country:US
Practice Address - Phone:562-692-3388
Practice Address - Fax:281-664-3522
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA779852083P0901X, 208600000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA10199.9280001Medicaid
PA039818OtherMEDICARE GROUP
NY02907808Medicaid
PA166967832Medicaid