Healthcare Provider Details

I. General information

NPI: 1629258363
Provider Name (Legal Business Name): JAMES C WU MD, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2007
Last Update Date: 03/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 SULLIVAN AVE 411
DALY CITY CA
94015-2228
US

IV. Provider business mailing address

1800 SULLIVAN AVE 411
DALY CITY CA
94015-2228
US

V. Phone/Fax

Practice location:
  • Phone: 650-994-3223
  • Fax:
Mailing address:
  • Phone: 650-994-3223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0905X
TaxonomyOtolaryngology/Facial Plastic Surgery Physician
License NumberA91181
License Number StateCA

VIII. Authorized Official

Name: DR. JAMES C WU
Title or Position: PRESIDENT
Credential: MD
Phone: 650-994-3223