Individual
MARK WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
444 S SAN VICENTE BLVD STE 603, LOS ANGELES, CA 90048-4178
(310) 423-4566
(424) 314-8799
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A196874
CA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
100910
WI
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
74076
MN
Other
Enumeration date
04/07/2018
Last updated
09/12/2024
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