Individual
SHANG CHENG WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3141 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-6304
(626) 937-6663
(626) 937-6653
Mailing address
3141 S HACIENDA BLVD, HACIENDA HEIGHTS, CA 91745-6304
(626) 937-6663
(626) 937-6653
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A79748
CA
207RI0008X
Hepatology Physician
A79748
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A797480
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A797480
—
CA
Enumeration date
11/02/2006
Last updated
05/22/2023
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