Illie I-San Wu in Garden Grove - Family Medicine
Illie I-San Wu - NPI 1700083516
Illie I-San Wu is a Family Medicine in Garden Grove, California. Illie I-San Wu practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Illie I-San Wu is 1700083516. The last update date is 2011-11-10.
Illie I-San Wu's current location address is 12751 Harbor Blvd, Garden Grove, California. You can contact this provider via phone number 7146367852. The mailing address for Illie I-San Wu is 12751 Harbor Blvd, Garden Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Illie I-San Wu |
|---|---|
| Address | 12751 Harbor Blvd, Garden Grove, California |
| Phone Number | 7146367852 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D |
NPI Number Detail
| NPI Number | 1700083516 |
|---|---|
| Provider Enumeration Date | 2007-06-27 |
| Last Updated Date | 2011-11-10 |
Provider Mailing Address Detail
| Address | 12751 Harbor Blvd |
|---|---|
| City | Garden Grove |
| State | California (CA) |
| Post Code | 928405800 |
| Phone Number | 7146367852 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | A107732 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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What is the unique 10-digit identification code assigned to Illie I-San Wu by the Centers for Medicare & Medicaid Services?
The Illie I-San Wu has been issued the NPI (National Provider Identifier) 1700083516, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Illie I-San Wu located?
The Illie I-San Wu is located at 12751 Harbor Blvd, Garden Grove, CA 928405800.
What is the area of specialization for Illie I-San Wu, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Illie I-San Wu is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did Illie I-San Wu receive its 1700083516 assignment from the Centers for Medicare & Medicaid Services?
The Illie I-San Wu was assigned its 1700083516 on 2007-06-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Illie I-San Wu, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Illie I-San Wu, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-11-10.
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