| |
15722 East Gale Ave, #a, Hacienda Hts, CA 91745-1518 | |
(626) 330-8899 | |
(626) 330-8699 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 15722 East Gale Ave, Hacienda Hts, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104922103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC24672 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
15722 Gale Ave, #a, Hacienda Hts, CA 91745-1518 Ph: (626) 330-8899 | 15722 East Gale Ave, #a, Hacienda Hts, CA 91745-1518 Ph: (626) 330-8899 |
Jimmy Chung-te Wu, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 15722 Gale Ave, #a, Hacienda Hts, CA 91745 Phone: 626-330-8899 Fax: 626-330-8699 |