| Dr Henry Wu, MD | |
|
2275 Huntington Dr # 860, San Marino, CA 91108-2640 | |
| (626) 662-0288 | |
| Not Available |
| Full Name | Dr Henry Wu |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2275 Huntington Dr # 860, San Marino, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831519834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 129669 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Henry Wu, MD 2275 Huntington Dr # 860, San Marino, CA 91108-2640 Ph: (626) 662-0288 | Dr Henry Wu, MD 2275 Huntington Dr # 860, San Marino, CA 91108-2640 Ph: (626) 662-0288 |
Chien-chi Chiu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1290 Belhaven Rd, San Marino, CA 91108 Phone: 626-827-5102 | |
Dr. Fatma Haney, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 840 Winthrop Rd, San Marino, CA 91108 Phone: 575-622-2606 Fax: 575-622-6645 | |
Dr. Sandy Yi-shuan Lai, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 375 Huntington Dr Ste F, San Marino, CA 91108 Phone: 626-270-1580 Fax: 626-399-0478 |