MEDICARE: MRS. XUYANG 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	171100000X	Acupuncturist	14005	CA

General Provider Information

NPI Number	:	1518269315
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. XUYANG WU

Provider Business Mailing Address
First Line	:	2004 UNIVERSITY AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1432
Country	:	US
Telephone Number	:	650-218-1893
Fax Number	:	650-300-5039

Provider Business Practice Location Address
First Line	:	1289 E HILLSDALE BLVD STE 2
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1219
Country	:	US
Telephone Number	:	650-212-7968
Fax Number	:

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

Provider Enumeration Date	:	11/30/2010
Last Update Date	:	11/30/2010

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