Wu And Pan Medical Associates | |
1740 Fruitridge Rd # 101 Sacramento CA 95822-3037 | |
(916) 391-7200 | |
(916) 391-7772 |
Full Name | Wu And Pan Medical Associates |
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Speciality | Internal Medicine |
Location | 1740 Fruitridge Rd # 101, Sacramento, California |
Authorized Official Name and Position | Peter C Wu (CO-OWNER) |
Authorized Official Contact | 9163917200 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wu And Pan Medical Associates 1740 Fruitridge Rd # 101 Sacramento CA 95822-3037 Ph: (916) 391-7200 | Wu And Pan Medical Associates 1740 Fruitridge Rd # 101 Sacramento CA 95822-3037 Ph: (916) 391-7200 |
NPI Number | 1700906641 |
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Provider Enumeration Date | 03/31/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 0446299515 |
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Medicare Enrollment ID | O20050427001428 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700906641 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | A055280 (California) | Primary |
Provider Name | Peter C Wu |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1326143322 PECOS PAC ID: 7315005931 Enrollment ID: I20081024000589 |
Provider Name | Lester Pan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598790826 PECOS PAC ID: 6406914027 Enrollment ID: I20081024000633 |
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