Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | A40891 | CA |
NPI | 1013065184 |
---|---|
Provider Name | Dr. Meei-Ling Tung Wu |
First Address | Orange, CA 92867-5900 |
Second Address | Orange, CA 92867-5900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A408910 | (05) | CA |
A40891 | PIN (01) | CA |
A85526 | (02) | CA |