Provider Demographics
NPI:1093793184
Name:WU, WENDY H (DPM)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:H
Last Name:WU
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 N GARFIELD AVE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1242
Mailing Address - Country:US
Mailing Address - Phone:626-312-2000
Mailing Address - Fax:626-312-2002
Practice Address - Street 1:500 N GARFIELD AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1242
Practice Address - Country:US
Practice Address - Phone:626-312-2000
Practice Address - Fax:626-312-2002
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-09
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE4028213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000E40282Medicaid
CAU65847Medicare UPIN
CA4418420001Medicare NSC
CAE40208Medicare ID - Type Unspecified