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Individual

DR. VIVIAN F WU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792
Mailing address
1301 20TH ST STE 300, SANTA MONICA, CA 90404-2087
(310) 829-7792

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101253955
VA
207Y00000X
Otolaryngology Physician
Primary
C199477
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
-004
TRICARE/CHAMPUS
VA
01
10110142
OPTIMA HEALTH
VA
01
1881849115
UNITED HEALTHCARE
VA
05
1881849115
NC
05
1881849115
VA
01
495059
ANTHEM BC/BS
VA
01
PAR
CORVEL
VA
Enumeration date
12/01/2008
Last updated
12/19/2024
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