Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | A67036 | CA |
N | 207VE0102X | Reproductive Endocrinologist | 01057730 | IN |
N | 207VE0102X | Reproductive Endocrinologist | A67036 | CA |
N | 207VG0400X | Gynecologist | 01057730 | IN |
N | 207VX0000X | Obstetrician | 01057720 | IN |
NPI | 1265538912 |
---|---|
Provider Name | Allan Yang Wu |
First Address | Calexico, CA 92231-9722 |
Second Address | Calexico, CA 92231-9722 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 17/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11170957 | CAQH NUMBER (01) | IN |
200450910A | (05) | IN |
J92544 | (02) | IN |