Organization
COMMUNITY INTERNAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL WENDONG WU M.D., PH.D. (OWNER AND CEO)
(408) 500-9773
Entity
Organization
Contact information
Practice address
7880 WREN AVE., SUITE # D-143, GILROY, CA 95020-7802
(408) 846-1800
(408) 846-1995
Mailing address
7880 WREN AVE., SUITE # D-143, GILROY, CA 95020-7802
(408) 846-1800
(408) 846-1995
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A740740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A740740
—
CA
Enumeration date
06/27/2007
Last updated
04/20/2024
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