MEDICARE: TAI HING WU MD

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	207R00000X	Internal Medicine Physician	A46692	CA

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	:	1417963661
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAI HING WU MD

Provider Business Mailing Address
First Line	:	415 W VALLEY BLVD
Second Line	:
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3728
Country	:	US
Telephone Number	:	626-943-9240
Fax Number	:	626-943-9242

Provider Business Practice Location Address
First Line	:	415 W VALLEY BLVD
Second Line	:	C
City	:	SAN GABRIEL
State	:	CA
Zip	:	91776-3728
Country	:	US
Telephone Number	:	626-943-9240
Fax Number	:	626-943-9242

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	11/01/2008

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Directions to “ TAI HING WU MD” Practice Location

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