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1144463761 NPI number — JENNIFER LEE WU MD

NPI Number: 1144463761
Health Care Provider/Practitioner: JENNIFER LEE WU MD

Information about “1144463761” NPI (JENNIFER LEE WU MD) exists in 1144463761 in HTML format HTML  |  1144463761 in plain Text format TXT  |  1144463761 in PDF (Portable Document Format) PDF  |  1144463761 in an XML format XML  formats.

NPI Number : 1144463761 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1144463761",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WU",
    "FirstName": "JENNIFER",
    "MiddleName": "LEE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "LEE",
    "OtherFirstName": "JENNIFER",
    "OtherMiddleName": "C.",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "3033 BRISTOL ST UNIT 123",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "COSTA MESA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92626-3091",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "949-208-9090",
    "MailingAddressFaxNumber": "949-546-1141",
    "FirstLinePracticeLocationAddress": "3033 BRISTOL ST UNIT 123",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "COSTA MESA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92626-3091",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "949-208-9090",
    "PracticeLocationAddressFaxNumber": "949-546-1141",
    "EnumerationDate": "04/13/2009",
    "LastUpdateDate": "03/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "30583",
          "LicenseNumberStateCode": "OK",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207W00000X",
          "TaxonomyName": "Ophthalmology Physician",
          "LicenseNumber": "A117309",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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