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Individual

ALLAN YANG WU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., C.T.B.S.

Contact information

Practice address
233 W COLE BLVD, CALEXICO, CA 92231-9722
(760) 344-9951
(760) 344-1629
Mailing address
233 W COLE BLVD, SUITE A, CALEXICO, CA 92231-9722
(760) 357-2020
(760) 357-1056

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A67036
CA
207VE0102X
Reproductive Endocrinology Physician
01057730
IN
207VE0102X
Reproductive Endocrinology Physician
A67036
CA
207VG0400X
Gynecology Physician
01057730
IN
207VX0000X
Obstetrics Physician
01057720
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11170957
CAQH NUMBER
IN
05
200450910A
IN
Enumeration date
09/16/2006
Last updated
03/17/2016
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