| Johnny Wu, MD | |
|
2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 | |
| (714) 626-8650 | |
| Not Available |
| Full Name | Johnny Wu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 2141 N Harbor Blvd Ste 25000, Fullerton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801356290 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A176391 (California) | Primary |
| Entity Name | Providence Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Johnny Wu, MD 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 Ph: (714) 626-8650 | Johnny Wu, MD 2141 N Harbor Blvd Ste 25000, Fullerton, CA 92835-3830 Ph: (714) 626-8650 |
Kiho Woo, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E. Valencia Dr., Fullerton, CA 92835 Phone: 714-449-4800 Fax: 714-578-8629 | |
Kumkum Sarkar Patel, M.D., MPH Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1837 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5831 | |
Pius J. Kim, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-447-5027 | |
Steven Woong Kim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835 Phone: 714-446-5900 Fax: 714-446-5800 | |
Yung Lyou, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd Ste 3200, Fullerton, CA 92835 Phone: 714-446-5900 | |
Andrew Tien Duke, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 100 E Valencia Mesa Dr, Fullerton, CA 92835 Phone: 714-992-3969 | |
Eugene Boston, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2720 N Harbor Blvd, Suite 100, Fullerton, CA 92835 Phone: 714-449-6990 |