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NPI Code Detail

MEDICARE: JUDY WU

MEDICARE:   JUDY  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
1106H00000XMarriage & Family Therapist47840CA

General Provider Information

NPI Number : 1225457229
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDY WU
Provider Business Mailing Address
First Line : 2550 OVERLAND AVE
Second Line : SUITE 100
City : LOS ANGELES
State : CA
Zip : 90064-3346
Country : US
Telephone Number : 310-753-3209
Fax Number :
Provider Business Practice Location Address
First Line : 2550 OVERLAND AVE
Second Line : SUITE 100
City : LOS ANGELES
State : CA
Zip : 90064-3346
Country : US
Telephone Number : 310-753-3209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2014
Last Update Date : 04/08/2014

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Directions to “ JUDY WU ” Practice Location

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