Provider Demographics
NPI:1235325317
Name:WU, BIE-CHIN B (MD)
Entity Type:Individual
Prefix:
First Name:BIE-CHIN
Middle Name:B
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BEATRICE
Other - Middle Name:ONG
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3655 LOMITA BLVD
Mailing Address - Street 2:300
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3931
Mailing Address - Country:US
Mailing Address - Phone:310-375-7811
Mailing Address - Fax:310-375-1722
Practice Address - Street 1:3655 LOMITA BLVD
Practice Address - Street 2:300
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3931
Practice Address - Country:US
Practice Address - Phone:310-375-7811
Practice Address - Fax:310-375-1722
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC36170207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC04071Medicare UPIN