Provider Demographics
NPI:1154013803
Name:MING-WEI WU, INC
Entity type:Organization
Organization Name:MING-WEI WU, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MING-WEI
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-434-8880
Mailing Address - Street 1:3750 S JONES BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2209
Mailing Address - Country:US
Mailing Address - Phone:888-434-8880
Mailing Address - Fax:855-434-8880
Practice Address - Street 1:135 S STATE COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5823
Practice Address - Country:US
Practice Address - Phone:888-434-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty