Provider Demographics
NPI:1689050379
Name:WU CHIROPRACTIC CARE, INC.
Entity Type:Organization
Organization Name:WU CHIROPRACTIC CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HUNGCHIAO
Authorized Official - Middle Name:LISA
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:626-329-8115
Mailing Address - Street 1:114 S LONDON CT
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806
Mailing Address - Country:US
Mailing Address - Phone:626-329-8115
Mailing Address - Fax:
Practice Address - Street 1:215 N STATE COLLEGE BLVD.
Practice Address - Street 2:#B
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806
Practice Address - Country:US
Practice Address - Phone:626-329-8115
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32260111N00000X
CA15337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty