| J. Wu Medical Care Inc | |
|
3845 Atlantic Ave Long Beach CA 90807-3505 | |
| (562) 595-9206 | |
| (562) 595-9209 |
| Full Name | J. Wu Medical Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3845 Atlantic Ave, Long Beach, California |
| Authorized Official Name and Position | Jack C Wu (PRESIDENT) |
| Authorized Official Contact | 5625959206 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Wu Medical Care Inc Po Box 4071 Orange CA 92863-4071 Ph: (562) 595-9206 | J. Wu Medical Care Inc 3845 Atlantic Ave Long Beach CA 90807-3505 Ph: (562) 595-9206 |
| NPI Number | 1356386247 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 07/12/2014 |
| Medicare PECOS PAC ID | 9032212113 |
|---|---|
| Medicare Enrollment ID | O20070309000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356386247 | NPI | - | NPPES |
| 00A708800 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70880 (California) | Primary |
| Provider Name | Jack C Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326089079 PECOS PAC ID: 7012010192 Enrollment ID: I20070309000349 |
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