MEDICARE: RROBERT-JIM WUU L.AC

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	AC16523	CA

General Provider Information

NPI Number	:	1912356817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RROBERT-JIM WUU L.AC

Provider Business Mailing Address
First Line	:	2171 JUNIPERO SERRA BLVD STE 240
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94014-1906
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1443 OCEAN AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-1731
Country	:	US
Telephone Number	:	415-391-9686
Fax Number	:

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

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	09/12/2024

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