Ruth S Wu, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DL28112 Issued in CA

Practice address

149 N 6TH St
Montebello, CA 90640-5257

Phone

(323) 721-5121

Fax

(323) 721-4491

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1699839977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 N 6TH ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405257",
            "telephone_number": "323-721-5121",
            "fax_number": "323-721-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 N 6TH ST",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906405257",
            "telephone_number": "323-721-5121",
            "fax_number": "323-721-4491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "RUTH",
        "middle_name": "S",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DL28112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "DL28112",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B28112-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Lee Wong, MS, LMFT
• Simon Wong
• Sylvia Wong, OTR/L
• Christina Woodson
• Charles B. Worley, PA-C
• Wuu Shyong Wu M.D.
• XCB Holdings, Inc.
• Yacoub Medical Inc.
• Yacoub Medical, Inc.
• Yacoub Medical, Inc.

• General Practice Dentistry in Montebello, CA
• Providers in Montebello, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.