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Individual

DR. HENRY WU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
520 N PROSPECT AVE, #203, REDONDO BEACH, CA 90277
(310) 318-5509
(310) 372-9188
Mailing address
520 N PROSPECT AVE, #203, REDONDO BEACH, CA 90277
(310) 318-5509
(310) 372-9188

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G54975
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G549750
MEDICAL PROVIDER #
Enumeration date
11/02/2006
Last updated
10/25/2010
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