Provider Demographics
NPI:1386797884
Name:WU, JOSEPH K (OD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:K
Last Name:WU
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:32 TAQUITZ
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-2430
Mailing Address - Country:US
Mailing Address - Phone:714-290-8995
Mailing Address - Fax:
Practice Address - Street 1:4605 BARRANCA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-1726
Practice Address - Country:US
Practice Address - Phone:949-551-2002
Practice Address - Fax:949-733-0149
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA13017152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAV11748Medicare UPIN