Organization
JACK J WU MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK WU M.D. (PRESIDENT)
(818) 220-7853
Entity
Organization
Contact information
Practice address
5363 BALBOA BLVD STE 245, ENCINO, CA 91316-2827
(818) 693-1431
(818) 914-0223
Mailing address
6520 PLATT AVE, #726, WEST HILLS, CA 91307-3218
(818) 220-7853
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A93228
CA
Other
Enumeration date
10/04/2010
Last updated
11/13/2019
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