Individual
GRACE T WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
991 N TUSTIN ST, SUITE 101, ORANGE, CA 92867-5900
(714) 639-6162
Mailing address
991 N TUSTIN ST, SUITE 101, ORANGE, CA 92867-5900
(714) 639-6162
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125054643
IL
207W00000X
Ophthalmology Physician
Primary
129362
CA
Other
Enumeration date
08/08/2008
Last updated
04/02/2014
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