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Individual

ANTHONY WU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
26921 CROWN VALLEY PKWY, STE 110, MISSION VIEJO, CA 92691-6501
(714) 827-6700
Mailing address
PO BOX 5280, HUNTINGTON BEACH, CA 92615-5280

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G47384
CA
208VP0000X
Pain Medicine Physician
G47384
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G473840
CA
Enumeration date
02/08/2007
Last updated
04/05/2017
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