Provider Demographics
NPI:1407953102
Name:WU, JASHIN JOAQUIN (MD)
Entity type:Individual
Prefix:DR
First Name:JASHIN
Middle Name:JOAQUIN
Last Name:WU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:760 WASHBURN AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-3303
Mailing Address - Country:US
Mailing Address - Phone:951-257-8881
Mailing Address - Fax:916-251-0116
Practice Address - Street 1:760 WASHBURN AVE STE 201
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-3303
Practice Address - Country:US
Practice Address - Phone:951-257-8881
Practice Address - Fax:916-251-0116
Is Sole Proprietor?:No
Enumeration Date:2006-09-17
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86962207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology