Provider Demographics
NPI:1023083185
Name:WU, HUI (MD)
Entity type:Individual
Prefix:MISS
First Name:HUI
Middle Name:
Last Name:WU
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 1:2975 WILSHIRE BLVD
Mailing Address - Street 2:#103
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90010-1107
Mailing Address - Country:US
Mailing Address - Phone:213-736-0450
Mailing Address - Fax:
Practice Address - Street 1:2975 WILSHIRE BLVD
Practice Address - Street 2:#103
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1107
Practice Address - Country:US
Practice Address - Phone:213-736-0450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-22
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA67731208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG98449Medicare UPIN
CAA67731Medicare ID - Type Unspecified