MEDICARE: ANTHONY A. WU, M.D. INC.

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	207L00000X	Anesthesiology Physician	G47384	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	:	1457698144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY A. WU, M.D. INC.

Provider Business Mailing Address
First Line	:	PO BOX 5280
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92615-5280
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	20422 BEACH BLVD
Second Line	:	SUITE 300
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-4377
Country	:	US
Telephone Number	:	714-374-0816
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY A WU
Credential	:	M.D.
Telephone Number	:	714-374-0816

Provider Enumeration Date	:	01/15/2013
Last Update Date	:	01/15/2013

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