Mark Wen Jen Wu, MD | |
1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 | |
(626) 851-1011 | |
Not Available |
Full Name | Mark Wen Jen Wu |
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Gender | Male |
Speciality | Obstetrics & Gynecology |
Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245457712 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | A90198 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
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Mark Wen Jen Wu, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Mark Wen Jen Wu, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
Gayla P. Ivery, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Murali H. Kamath, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Tara Mae Peterson, PA-C Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 4070 Sterling Way, Baldwin Park, CA 91706 Phone: 626-798-0706 | |
Nashat Nazeir Ateia, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14135 Francisquito Ave, Suite 106, Baldwin Park, CA 91706 Phone: 626-960-3753 Fax: 626-962-9866 | |
Lyn Yasumura, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Leslie A. Tittle, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 | |
Nelda A. Daoud, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1011 Baldwin Park Blvd, Baldwin Park, CA 91706 Phone: 626-851-1011 |