Healthcare Provider Details

I. General information

NPI: 1356250724
Provider Name (Legal Business Name): SUYEN WU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N GARFIELD AVE
MONTEREY PARK CA
91754-1166
US

IV. Provider business mailing address

600 N GARFIELD AVE
MONTEREY PARK CA
91754-1166
US

V. Phone/Fax

Practice location:
  • Phone: 626-757-7671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95024550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: