Individual
DR. DEREK J. WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3801 KATELLA AVE, #221, LOS ALAMITOS, CA 90720-3338
(562) 431-6548
(562) 761-2086
Mailing address
3801 KATELLA AVE, #221, LOS ALAMITOS, CA 90720-3338
(562) 431-6548
(562) 761-2086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A101672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164616223
—
CA
01
—
A101672
CA MED LIC
CA
01
—
ZZZ54049Y
BS/TRIWEST
CA
Enumeration date
08/31/2007
Last updated
10/20/2015
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