Organization Active NPI

Roger L. Wu, O.D.

  • Clinic/Center
  • City of Industry, CA
National Provider Identifier
1760641534
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
10971T Issued in CA
Legal business name
ROGER L. WU, O.D.
Practice address
18575 Gale Ave
Suite 168
City of Industry, CA 91748-1340
Phone
(626) 810-3398
Fax
(626) 810-3342
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Roger Li-Chung Wu, O.D.
Title
C.E.O.
Phone
(626) 810-3398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10971T CA Primary

Addresses

Primary practice location

18575 Gale Ave
Suite 168
City of Industry, CA 91748-1340

Mailing address

18575 Gale Ave
Suite 168
City of Industry, CA 91748-1340
Phone (626) 810-3398

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1760641534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 168",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "626-810-3398",
            "fax_number": "626-810-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE",
            "address_2": "SUITE 168",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481340",
            "telephone_number": "626-810-3398",
            "fax_number": "626-810-3342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER L. WU, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "LI-CHUNG",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "626-810-3398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "10971T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.