Provider Demographics
NPI:1093778672
Name:WU, HUEYYUAN L (MD)
Entity Type:Individual
Prefix:DR
First Name:HUEYYUAN
Middle Name:L
Last Name:WU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:55 S RAYMOND AVE
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91801-7100
Mailing Address - Country:US
Mailing Address - Phone:626-293-1350
Mailing Address - Fax:626-570-5638
Practice Address - Street 1:55 S RAYMOND AVE
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-7103
Practice Address - Country:US
Practice Address - Phone:626-293-1350
Practice Address - Fax:626-570-5638
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA045797207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE73317Medicare UPIN