Provider Demographics
NPI:1235200825
Name:MICHAEL WU, M.D., INC.
Entity Type:Organization
Organization Name:MICHAEL WU, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:C
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-276-2930
Mailing Address - Street 1:3 POINTE DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3651
Mailing Address - Country:US
Mailing Address - Phone:714-276-2930
Mailing Address - Fax:714-256-9013
Practice Address - Street 1:3 POINTE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3651
Practice Address - Country:US
Practice Address - Phone:714-276-2930
Practice Address - Fax:714-256-9013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA817482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
391742OtherMGD HEALTH NTWK PIN
W20285Medicare PIN