| Tina Wu, Md; Internal Medicine; A Professional Corporation | |
|
15215 National Ave Ste 200 Los Gatos CA 95032-2425 | |
| (408) 358-1841 | |
| Not Available |
| Full Name | Tina Wu, Md; Internal Medicine; A Professional Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 15215 National Ave Ste 200, Los Gatos, California |
| Authorized Official Name and Position | Tina Wu (PRESIDENT) |
| Authorized Official Contact | 8312168118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Wu, Md; Internal Medicine; A Professional Corporation 21701 Stevens Creek Blvd Unit 922 Cupertino CA 95015-3337 Ph: () - | Tina Wu, Md; Internal Medicine; A Professional Corporation 15215 National Ave Ste 200 Los Gatos CA 95032-2425 Ph: (408) 358-1841 |
| NPI Number | 1083484166 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Medicare PECOS PAC ID | 1951749720 |
|---|---|
| Medicare Enrollment ID | O20240329002334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083484166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Tina T Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417054768 PECOS PAC ID: 4082738489 Enrollment ID: I20100907000579 |
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