Individual
JESSICA WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033-1029
(713) 397-2832
Mailing address
1365 CLIFTON RD NE FL 4, ATLANTA, GA 30322-1013
(404) 778-3712
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
100514
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
03/26/2018
Last updated
06/21/2024
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