Provider Demographics
NPI:1871512749
Name:LIU, WU HUI (MD)
Entity Type:Individual
Prefix:
First Name:WU
Middle Name:HUI
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3948 PECK RD STE 10
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91732-2256
Mailing Address - Country:US
Mailing Address - Phone:626-455-0166
Mailing Address - Fax:626-455-0165
Practice Address - Street 1:3948 PECK RD STE 10
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91732-2256
Practice Address - Country:US
Practice Address - Phone:626-455-0166
Practice Address - Fax:626-455-0165
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA66869207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A668690Medicaid
CA00A668690Medicaid
CAA66869Medicare ID - Type Unspecified