| Efren F Wu Md Inc | |
|
47647 Caleo Bay Dr Ste 130 La Quinta CA 92253-8857 | |
| (760) 360-1000 | |
| (760) 610-6171 |
| Full Name | Efren F Wu Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 47647 Caleo Bay Dr Ste 130, La Quinta, California |
| Authorized Official Name and Position | Efren F Wu (OWNER) |
| Authorized Official Contact | 6467530121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Efren F Wu Md Inc 47647 Caleo Bay Dr Ste 130 La Quinta CA 92253-8857 Ph: (760) 360-1000 | Efren F Wu Md Inc 47647 Caleo Bay Dr Ste 130 La Quinta CA 92253-8857 Ph: (760) 360-1000 |
| NPI Number | 1104250851 |
|---|---|
| Provider Enumeration Date | 08/29/2013 |
| Last Update Date | 03/04/2020 |
| Medicare PECOS PAC ID | 3577796655 |
|---|---|
| Medicare Enrollment ID | O20140424001687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104250851 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | A121278 (California) | Primary |
| Provider Name | Efren Fung Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740432764 PECOS PAC ID: 2567611460 Enrollment ID: I20121010000147 |
| Provider Name | Cami Lee E Mcchesney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467977116 PECOS PAC ID: 0941567978 Enrollment ID: I20171130000172 |
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