Provider Demographics
NPI:1588784045
Name:WU, SHOU XIN (PHD , LAC)
Entity type:Individual
Prefix:DR
First Name:SHOU XIN
Middle Name:
Last Name:WU
Suffix:
Gender:M
Credentials:PHD , LAC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:15373 MATURIN DR
Mailing Address - Street 2:#179
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-2351
Mailing Address - Country:US
Mailing Address - Phone:858-613-1229
Mailing Address - Fax:858-613-1229
Practice Address - Street 1:16766 BERNARDO CENTER DR
Practice Address - Street 2:SUITE 207
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2545
Practice Address - Country:US
Practice Address - Phone:858-673-7788
Practice Address - Fax:858-673-7788
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAACU 5722171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist