Healthcare Provider Details

I. General information

NPI: 1831519834
Provider Name (Legal Business Name): HENRY WU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2014
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 EL CAMINO DR
BEVERLY HILLS CA
90212-2705
US

IV. Provider business mailing address

136 EL CAMINO DR
BEVERLY HILLS CA
90212-2705
US

V. Phone/Fax

Practice location:
  • Phone: 310-400-0331
  • Fax:
Mailing address:
  • Phone: 310-400-0331
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number129669
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: