MEDICARE: CHRIS YANG WU M.D.

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	207W00000X	Ophthalmology Physician	A161633	CA
2	207W00000X	Ophthalmology Physician	25670	NV
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	A161633	CA
4	207WX0107X	Retina Specialist (Ophthalmology) Physician	25670	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265829345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS YANG WU M.D.

Provider Business Mailing Address
First Line	:	6980 SMOKE RANCH RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8606
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

Provider Business Practice Location Address
First Line	:	6980 SMOKE RANCH RD STE 110
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-8606
Country	:	US
Telephone Number	:	702-732-4500
Fax Number	:	702-818-1393

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

Provider Enumeration Date	:	04/16/2015
Last Update Date	:	05/01/2024

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Directions to “ CHRIS YANG WU M.D.” Practice Location

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