Wu, Tsung Chieh Jackson
Wu, Tsung Chieh Jackson is an individual health care provider with primary practice located at 200 Medical Plz Suite 430, Los Angeles CA 90095-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Wu, Tsung Chieh Jackson can be contacted via phone (310) 794-7274.Contact Information
Primary practice address
200 Medical Plz Suite 430
Los Angeles CA 90095-0001
Phone: (310) 794-7274
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Reproductive Endocrinology | 207VE0102X | A46040 | California |
Profile Details
| NPI number | 1083648687 |
|---|---|
| LBN Legal business name | Wu, Tsung Chieh Jackson |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 19th, 2010 - about 14 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 | 1083648687 | NPPES |
| California | MEDICAID | 00460400 |
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