Healthcare Provider Details

I. General information

NPI: 1780709931
Provider Name (Legal Business Name): I-CHING WU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 AERO JET AVE
EL MONTE CA
91731-2801
US

IV. Provider business mailing address

154A W FOOTHILL BLVD # 202
UPLAND CA
91786-3847
US

V. Phone/Fax

Practice location:
  • Phone: 626-286-8700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29025
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: