West Valley Internal Medicine Diabetes Clinic Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C51365 Issued in CA

Legal business name

WEST VALLEY INTERNAL MEDICINE DIABETES CLINIC INC

Practice address

1801 W Valley Blvd
Suite 208
Alhambra, CA 91803-2300

Phone

(626) 872-6681

NPI assigned

Oct 12, 2011

Last updated

Sep 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Ying-Jian Wu, M.D.

Title

President

Phone

(626) 872-6681

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1811272636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 W VALLEY BLVD",
            "address_2": "SUITE 208",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032300",
            "telephone_number": "626-872-6681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 W VALLEY BLVD",
            "address_2": "SUITE 208",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918032300",
            "telephone_number": "626-872-6681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST VALLEY INTERNAL MEDICINE DIABETES CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "YING-JIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-872-6681",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C51365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.