Wu, Jimmy
Wu, Jimmy is an sole proprietor health care provider with primary practice located at 12751 Harbor Blvd , Garden Grove CA 92840-5800. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wu, Jimmy can be contacted via phone (714) 636-7852.Contact Information
Primary practice address
12751 Harbor Blvd
Garden Grove CA 92840-5800
Phone: (714) 636-7852
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A-49571 | California |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A-49571 | California |
Profile Details
| NPI number | 1982647939 |
|---|---|
| LBN Legal business name | Wu, Jimmy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Nov 12th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982647939 | NPPES |
| California | MEDICAID | GR0083450 |
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