Provider Demographics
NPI:1548228109
Name:WU, CHOU YING (MD)
Entity Type:Individual
Prefix:DR
First Name:CHOU
Middle Name:YING
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5716 ANCHOR BAY WAY
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:95758-6840
Mailing Address - Country:US
Mailing Address - Phone:916-533-4173
Mailing Address - Fax:
Practice Address - Street 1:5716 ANCHOR BAY WAY
Practice Address - Street 2:
Practice Address - City:ELK GROVE
Practice Address - State:CA
Practice Address - Zip Code:95758-6840
Practice Address - Country:US
Practice Address - Phone:916-533-4173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG065603207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G656030Medicaid
CA00G656030Medicaid
CAC52071Medicare UPIN