Provider Demographics
NPI:1831295138
Name:WU, JOYCE YING-CHEN (MD)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:YING-CHEN
Last Name:WU
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-825-0867
Mailing Address - Fax:
Practice Address - Street 1:10833 LE CONTE AVENUE
Practice Address - Street 2:12-441 MDCC
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095
Practice Address - Country:US
Practice Address - Phone:310-825-6196
Practice Address - Fax:310-825-5834
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-03-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA728282080P0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0008XAllopathic & Osteopathic PhysiciansPediatricsNeurodevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A728280Medicaid
CA1831295138OtherMEDI CAL
CAWA72828BMedicare PIN