Provider Demographics
NPI:1578739843
Name:WU, CHARLYNE (MD)
Entity Type:Individual
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First Name:CHARLYNE
Middle Name:
Last Name:WU
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Gender:F
Credentials:MD
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Mailing Address - Street 1:28202 CABOT RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1222
Mailing Address - Country:US
Mailing Address - Phone:949-365-5765
Mailing Address - Fax:866-661-2519
Practice Address - Street 1:26732 CROWN VALLEY PKWY
Practice Address - Street 2:SUITE 171
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6306
Practice Address - Country:US
Practice Address - Phone:949-364-1400
Practice Address - Fax:949-347-6061
Is Sole Proprietor?:No
Enumeration Date:2008-05-06
Last Update Date:2021-12-15
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Provider Licenses
StateLicense IDTaxonomies
CAA831012085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology