Individual
DR. CHIEN-KO WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
991 N TUSTIN ST, SUITE 101, ORANGE, CA 92867-5900
(714) 639-6162
(714) 639-5835
Mailing address
991 N TUSTIN ST, SUITE 101, ORANGE, CA 92867-5900
(714) 639-6162
(714) 639-5835
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A38491
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A384910
—
CA
01
—
A38491
PIN
CA
Enumeration date
01/05/2007
Last updated
07/09/2007
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