| Brian Wu Md Phd Inc | |
|
201 Sycamore Dr San Gabriel CA 91775-2847 | |
| (323) 448-0298 | |
| Not Available |
| Full Name | Brian Wu Md Phd Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 201 Sycamore Dr, San Gabriel, California |
| Authorized Official Name and Position | Brian Wen-long Wu (PSYCHIATRIST) |
| Authorized Official Contact | 3234480298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Wu Md Phd Inc 201 Sycamore Dr San Gabriel CA 91775-2847 Ph: (323) 448-0298 | Brian Wu Md Phd Inc 201 Sycamore Dr San Gabriel CA 91775-2847 Ph: (323) 448-0298 |
| NPI Number | 1528639481 |
|---|---|
| Provider Enumeration Date | 07/01/2021 |
| Last Update Date | 01/10/2025 |
| Certification Date | 01/10/2025 |
| Medicare PECOS PAC ID | 0244633345 |
|---|---|
| Medicare Enrollment ID | O20210727003585 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528639481 | NPI | - | NPPES |
| A159332 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Anna H Jung |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306181193 PECOS PAC ID: 3870872682 Enrollment ID: I20161118001634 |
| Provider Name | Amelle Joseph Baptiste Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952946956 PECOS PAC ID: 9032545439 Enrollment ID: I20200203002389 |
| Provider Name | Brian Wen-long Wu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033637236 PECOS PAC ID: 2466879465 Enrollment ID: I20200903003355 |
| Provider Name | Jessica Erene B Paz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326600289 PECOS PAC ID: 2567874258 Enrollment ID: I20201222002673 |
| Provider Name | Yvonne Ann Offill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689316325 PECOS PAC ID: 3779960455 Enrollment ID: I20220518002433 |
| Provider Name | Sylvia E Kim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447788997 PECOS PAC ID: 6901272079 Enrollment ID: I20221013002986 |
| Provider Name | Victoria Chigbu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659078426 PECOS PAC ID: 8224401237 Enrollment ID: I20230222000901 |
| Provider Name | Karin S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710662721 PECOS PAC ID: 5395186803 Enrollment ID: I20240515002589 |
| Provider Name | Veronica I Sanchez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912526948 PECOS PAC ID: 7214383009 Enrollment ID: I20240620004074 |
| Provider Name | Julia Dyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457036956 PECOS PAC ID: 7113459595 Enrollment ID: I20241010003180 |
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