| Jack Wu Md Inc | |
|
19115 Colima Rd Unit 202 Rowland Heights CA 91748-3075 | |
| (626) 912-4147 | |
| (626) 912-3326 |
| Full Name | Jack Wu Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19115 Colima Rd Unit 202, Rowland Heights, California |
| Authorized Official Name and Position | Xipu Jack Wu (PRESIDENT) |
| Authorized Official Contact | 6269124147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Wu Md Inc 19115 Colima Rd Unit 202 Rowland Heights CA 91748-3075 Ph: (626) 912-4147 | Jack Wu Md Inc 19115 Colima Rd Unit 202 Rowland Heights CA 91748-3075 Ph: (626) 912-4147 |
| NPI Number | 1174738553 |
|---|---|
| Provider Enumeration Date | 05/11/2007 |
| Last Update Date | 12/19/2019 |
| Medicare PECOS PAC ID | 6002916046 |
|---|---|
| Medicare Enrollment ID | O20070705000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174738553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A69486 (California) | Primary |
| Provider Name | Angela P Cherlin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508890567 PECOS PAC ID: 8325054968 Enrollment ID: I20060306000641 |
| Provider Name | Xipu Jack Wu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407942634 PECOS PAC ID: 2961509930 Enrollment ID: I20070525000589 |
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