Healthcare Provider Details

I. General information

NPI: 1912356817
Provider Name (Legal Business Name): RROBERT-JIM WUU L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2016
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 OCEAN AVE
SAN FRANCISCO CA
94112-1731
US

IV. Provider business mailing address

2171 JUNIPERO SERRA BLVD STE 240
DALY CITY CA
94014-1906
US

V. Phone/Fax

Practice location:
  • Phone: 415-391-9686
  • Fax:
Mailing address:
  • Phone: 415-391-9686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: