Provider Demographics
NPI:1275745515
Name:SHANG WU M.D., INC.
Entity Type:Organization
Organization Name:SHANG WU M.D., INC.
Other - Org Name:STEVEN WU M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANG
Authorized Official - Middle Name:CHENG
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-937-6663
Mailing Address - Street 1:3141 S HACIENDA BLVD
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-6304
Mailing Address - Country:US
Mailing Address - Phone:626-937-6663
Mailing Address - Fax:626-937-6653
Practice Address - Street 1:3141 S HACIENDA BLVD
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-6304
Practice Address - Country:US
Practice Address - Phone:626-937-6663
Practice Address - Fax:626-937-6653
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Multi-Specialty
No207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatologyGroup - Multi-Specialty