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NPI Code Detail

MEDICARE: DR. YONG WU L.AC

MEDICARE: DR. YONG WU L.AC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist4760CA

General Provider Information

NPI Number : 1588918379
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YONG WU L.AC
Provider Business Mailing Address
First Line : 2727 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3111
Country : US
Telephone Number : 213-738-1974
Fax Number : 213-738-1923
Provider Business Practice Location Address
First Line : 2727 W 6TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-3111
Country : US
Telephone Number : 213-738-1974
Fax Number : 213-738-1923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2012
Last Update Date : 11/01/2012

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Directions to “ DR. YONG WU L.AC” Practice Location

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