Healthcare Provider Details

I. General information

NPI: 1083820856
Provider Name (Legal Business Name): CHIEN-KO WU, M.D. AND MEEI-LING T WU, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 N TUSTIN ST SUITE 101
ORANGE CA
92867-5900
US

IV. Provider business mailing address

991 N TUSTIN ST SUITE 101
ORANGE CA
92867-5900
US

V. Phone/Fax

Practice location:
  • Phone: 714-639-6162
  • Fax:
Mailing address:
  • Phone: 714-639-6162
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA38491
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberA40891
License Number StateCA

VIII. Authorized Official

Name: DR. CHIEN-KO WU
Title or Position: CO-PRESIDENT
Credential: M.D.
Phone: 714-639-6162