Kong-Tay Wu, M.D, Inc

LBN: Kong-Tay Wu, M.D, Inc
Kong-Tay Wu, M.D, Inc is an health care organization with primary practice located at 437 N Campus Ave , Ontario CA 91764-4229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Kong-Tay Wu, M.D, Inc can be contacted via phone (909) 622-6433, or through Wu, Kong-Tay via phone (909) 622-6433.

Contact Information

Primary practice address
437 N Campus Ave Ontario CA 91764-4229
Phone: (909) 622-6433
Fax: (909) 469-2524
Website:
Map and Directions
Authorized official contact:
Name: Wu, Kong-Tay Doctor of Medicine (MD)
Phone: (909) 622-6433

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A30553 California

Profile Details

NPI number 1114231222
LBN Legal business name Kong-Tay Wu, M.D, Inc
DBA Doing business as
Authorized official Wu, Kong-Tay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2010
Last updated Jul 30th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114231222 NPPES
California MEDICAID GR0083540

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