Organization
DIANNE E WU M D S C A PROFESSIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE E WU M.D. (PRESIDENT)
(626) 458-7564
Entity
Organization
Contact information
Practice address
1048 S GARFIELD AVE, #300, ALHAMBRA, CA 91801-4768
(626) 458-7564
Mailing address
1048 S GARFIELD AVE, #300, ALHAMBRA, CA 91801-4768
(626) 458-7564
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
G79383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W21355
MEDICARE PTAN
CA
Enumeration date
04/02/2007
Last updated
01/18/2008
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