PO Han Wu

Primary specialty

DentistTaxonomy code 122300000X

License

108363 Issued in CA

Practice address

2492 Walnut Ave Ste 250
Tustin, CA 92780-6963

Phone

(949) 379-6511

NPI assigned

Feb 9, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• I Zak DDS Prof Dental Corp

  • Dentist
  • Downey, CA
  • NPI 1588901979
  Medicare reassignment NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Simi Valley, CA
  • NPI 1174263974
  NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Temecula, CA
  • NPI 1386163483
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1316644354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 MISSISSIPPI AVE UNIT 306",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256649",
            "telephone_number": "424-365-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2492 WALNUT AVE STE 250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806963",
            "telephone_number": "949-379-6511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "PO HAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "108363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Hurtado Woodson, LCSW
• Ashley Woroniecki
• Deborah Wright, MS
• Annie Jiaying Wu, L.AC.
• Lin Wu, L.AC.
• PO-Yun Wu, D.D.S.
• Shirley Wu
• Wei-Yen Wu, DDS
• Zhiyu Wu
• Li Xiao

• Dentist in Tustin, CA
• Providers in Tustin, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.