NPI 1801555123 · live from the CMS NPI Registry
Dr Wu PC
Dentist, Orthodontics and Dentofacial Orthopedics in South Pasadena, CA. National Provider Identifier 1801555123, active.
NPI record
| NPI | 1801555123 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 1525 Fair Oaks Ave, South Pasadena, CA 91030 |
| Practice phone | 626-403-6500 |
| Mailing address | 2970 Brandywine Rd Ste 200, Atlanta, GA 30341 |
| Enumerated | December 14, 2021 |
| Last updated | December 14, 2021 |
| Authorized official | Jo Ann Rice, Credentialing Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.