Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | E4028 | CA |
NPI | 1093793184 |
---|---|
Provider Name | Dr. Wendy H Wu |
First Address | Monterey Park, CA 91754-1242 |
Second Address | Monterey Park, CA 91754-1242 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/01/2006 |
Last Update Date | 25/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000E40282 | (05) | CA |
U65847 | (02) | CA |