Individual
DR. BOB WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
328 S 1ST ST, SUITE F AND G, ALHAMBRA, CA 91801-3789
(626) 457-6333
(626) 457-1933
Mailing address
328 S 1ST ST, SUITE F AND G, ALHAMBRA, CA 91801-3789
(626) 457-6333
(626) 457-1933
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
235384
NY
208600000X
Surgery Physician
Primary
A101512
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A1015120
BLUE SHIELD PROVIDER NUMBER
CA
Enumeration date
06/11/2007
Last updated
09/10/2013
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