Provider Demographics
NPI:1679573885
Name:WU, MICHAEL C (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:C
Last Name:WU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3 POINTE DR
Mailing Address - Street 2:SUITE 305
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3651
Mailing Address - Country:US
Mailing Address - Phone:714-276-2930
Mailing Address - Fax:714-256-9013
Practice Address - Street 1:3 POINTE DR
Practice Address - Street 2:SUITE 305
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3651
Practice Address - Country:US
Practice Address - Phone:714-276-2930
Practice Address - Fax:714-256-9013
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-29
Last Update Date:2011-02-09
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Provider Licenses
StateLicense IDTaxonomies
CAA817482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A817480OtherBLUE SHIELD OF CALIFORNIA
815601000OtherMAGELLAN
2124635OtherCCN/FIRST HEALTH
2244951OtherCIGNA BEHAVIORAL HEALTH
365137OtherMANAGED HEALTH NETWORK
548947OtherVALUE OPTIONS
CA00A817480Medicaid
2244951OtherCIGNA BEHAVIORAL HEALTH
2124635OtherCCN/FIRST HEALTH