Wu, Tina
Wu, Tina is an sole proprietor health care provider with primary practice located at 1812 11Th St , Manhattan Beach CA 90266-6212. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Wu, Tina can be contacted via phone (917) 674-1904.Contact Information
Primary practice address
1812 11Th St
Manhattan Beach CA 90266-6212
Phone: (917) 674-1904
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | A91185 | California |
Profile Details
| NPI number | 1568663136 |
|---|---|
| LBN Legal business name | Wu, Tina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Nov 16th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568663136 | NPPES |
| California | MEDICAID | 00A643450 |
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