Provider Demographics
NPI:1548461064
Name:WU, SHWU-CHING KATHY (AC)
Entity type:Individual
Prefix:
First Name:SHWU-CHING
Middle Name:KATHY
Last Name:WU
Suffix:
Gender:F
Credentials:AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1108 W VALLEY BLVD
Mailing Address - Street 2:# 6201
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-2477
Mailing Address - Country:US
Mailing Address - Phone:626-282-7881
Mailing Address - Fax:
Practice Address - Street 1:1108 W VALLEY BLVD
Practice Address - Street 2:# 6201
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-2477
Practice Address - Country:US
Practice Address - Phone:626-282-7881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2833171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist