MEDICARE: WENQIANG WU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	93278	CA

General Provider Information

NPI Number	:	1083570600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENQIANG WU

Provider Business Mailing Address
First Line	:	1408 9TH ST
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-3410
Country	:	US
Telephone Number	:	510-350-6052
Fax Number	:

Provider Business Practice Location Address
First Line	:	1408 9TH ST APT A
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-3410
Country	:	US
Telephone Number	:	510-350-6052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ WENQIANG WU ” Practice Location

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