Po Han Wu, | |
2492 Walnut Ave Ste 250, Tustin, CA 92780-6963 | |
(949) 379-6511 | |
Not Available |
Full Name | Po Han Wu |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 2492 Walnut Ave Ste 250, Tustin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316644354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 108363 (California) | Primary |
Entity Name | I Zak Dds Prof Dental Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588901979 PECOS PAC ID: 9133579808 Enrollment ID: O20231220003181 |
Mailing Address | Practice Location Address |
---|---|
Po Han Wu, 11260 Mississippi Ave Unit 306, Los Angeles, CA 90025-6649 Ph: (424) 365-0394 | Po Han Wu, 2492 Walnut Ave Ste 250, Tustin, CA 92780-6963 Ph: (949) 379-6511 |
Nathan Ducthong Vu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14001 Newport Ave Ste C, Tustin, CA 92780 Phone: 714-508-8500 Fax: 714-508-8011 | |
Dr. Dave Hoaiphuong Nguyen, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 13400 Newport Ave Ste B, Tustin, CA 92780 Phone: 714-838-1280 Fax: 714-838-1264 | |
Dimple Manchandia, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Suite 200, Tustin, CA 92780 Phone: 714-832-7220 | |
Dr. Victor Paul Cayabyab Valdez Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 El Camino Real, Suite B, Tustin, CA 92780 Phone: 714-669-9555 Fax: 714-669-9496 | |
Dr. Vinit H Joshi, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3053 Edinger Ave, Tustin, CA 92780 Phone: 949-653-5609 | |
Jae H. Kwak, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1631 Edinger Ave Ste 105, Tustin, CA 92780 Phone: 714-717-3757 | |
Dr. Jimmy Binh-phi Tran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Tustin, CA 92780 Phone: 714-714-0818 |