Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | OPT13544 | CA |
NPI | 1063660660 |
---|---|
Provider Name | Ellin Ying-Chun Wu |
First Address | Sunnyvale, CA 94087-1030 |
Second Address | Sunnyvale, CA 94087-1030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/09/2008 |
Last Update Date | 30/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
OPT13544 | (05) | CA |