Healthcare Provider Details

I. General information

NPI: 1275148777
Provider Name (Legal Business Name): FILEX WU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2020
Last Update Date: 09/11/2020
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RALSTON AVE STE B
BELMONT CA
94002-2866
US

IV. Provider business mailing address

404 BOARDWALK AVE APT 14
SAN BRUNO CA
94066-2056
US

V. Phone/Fax

Practice location:
  • Phone: 650-363-5668
  • Fax:
Mailing address:
  • Phone: 650-636-3099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number299103
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: