# EFREN F WU MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104250851
- **Authorized official:** EFREN F WU M.D. (OWNER)
- **Authorized official phone:** (646) 753-0121

## Contact information

- **Practice address:** 47647 CALEO BAY DR STE 130, LA QUINTA, CA 92253-8857
- **Practice address phone:** (760) 360-1000
- **Practice address fax:** (760) 610-6171
- **Mailing address:** 47647 CALEO BAY DR STE 130, LA QUINTA, CA 92253-8857
- **Mailing address phone:** (760) 360-1000
- **Mailing address fax:** (760) 610-6171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | A121278 | CA | Yes |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 03/04/2020