Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | G67007 | CA |
NPI | 1003920372 |
---|---|
Provider Name | Dr. Wilson Chia-Siung Wu |
First Address | Santa Barbara, CA 93105-5608 |
Second Address | Santa Barbara, CA 93105-5608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/08/2006 |
Last Update Date | 18/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G670072 | (05) | CA |
E95943 | (02) | CA |