Provider Demographics
NPI:1477642296
Name:WU, SHUYI (LAC)
Entity type:Individual
Prefix:MS
First Name:SHUYI
Middle Name:
Last Name:WU
Suffix:
Gender:
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 RIVER OAKS PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1988
Mailing Address - Country:US
Mailing Address - Phone:510-737-8158
Mailing Address - Fax:
Practice Address - Street 1:670 RIVER OAKS PKWY STE D
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1988
Practice Address - Country:US
Practice Address - Phone:510-737-8158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2025-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6543171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist