Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | A127342 | CA |
N | 208600000X | Surgeon | A127342 | CA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | A127342 | CA |
NPI | 1053605691 |
---|---|
Provider Name | Ms. Geena Wu |
First Address | San Gabriel, CA 91776-1339 |
Second Address | Riverside, CA 92505-3043 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2011 |
Last Update Date | 06/12/2021 |