Individual
DR. DAISY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
4646 BROCKTON AVE STE 202, RIVERSIDE, CA 92506-0103
(951) 751-9096
(951) 848-9163
Mailing address
PO BOX 80362, RANCHO SANTA MARGARITA, CA 92688-0362
(951) 751-9096
(951) 848-9163
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E44040
—
CA
01
—
E44040
CA LICENSE
CA
01
—
P00317457
RAILROAD MEDICARE
—
01
—
U91569
UPIN
CA
Enumeration date
04/14/2006
Last updated
03/26/2010
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