Healthcare Provider Details

I. General information

NPI: 1639532211
Provider Name (Legal Business Name): RICHARD WU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2016
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OYSTER POINT BLVD
SOUTH SAN FRANCISCO CA
94080-1904
US

IV. Provider business mailing address

400 OYSTER POINT BLVD
SOUTH SAN FRANCISCO CA
94080-1904
US

V. Phone/Fax

Practice location:
  • Phone: 415-343-5551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberA206148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: