Wu, Tina

Wu, Tina is an sole proprietor health care provider with primary practice located at 1812 11Th St , Manhattan Beach CA 90266-6212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wu, Tina can be contacted via phone (917) 674-1904.

Contact Information

Primary practice address
1812 11Th St Manhattan Beach CA 90266-6212
Phone: (917) 674-1904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A91185 California

Profile Details

NPI number 1568663136
LBN Legal business name Wu, Tina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Nov 16th, 2022 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568663136 NPPES
California MEDICAID 00A643450

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