Provider Demographics
NPI:1083820856
Name:CHIEN-KO WU, M.D. AND MEEI-LING T WU, M.D., INC.
Entity Type:Organization
Organization Name:CHIEN-KO WU, M.D. AND MEEI-LING T WU, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHIEN-KO
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-639-6162
Mailing Address - Street 1:991 N TUSTIN ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92867-5900
Mailing Address - Country:US
Mailing Address - Phone:714-639-6162
Mailing Address - Fax:
Practice Address - Street 1:991 N TUSTIN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-5900
Practice Address - Country:US
Practice Address - Phone:714-639-6162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38491207R00000X
CAA40891207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA38491OtherCHIEN-KO WU, M.D.
CA00A384910Medicaid
CAA40891OtherMEEI-LING T WU, M.D.
CA00A408910Medicaid
CAA40891OtherMEEI-LING T WU, M.D.
CAA88463Medicare ID - Type UnspecifiedCHIEN-KO WU, M.D.
CAA85526Medicare ID - Type UnspecifiedMEEI-LING T WU, M.D.
CA00A408910Medicaid