Allan Richard Wu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106733 Issued in CA

Practice address

1054 Vine St
Los Angeles, CA 90038-2745

Phone

(323) 603-0285

NPI assigned

Sep 8, 2021

Last updated

Sep 16, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Peter C. Wu, DDS, Corp.

  • General Practice Dentistry
  • Arcadia, CA
  • NPI 1750502472
  NPD (past)

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1962171561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 CIRCLE DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081007",
            "telephone_number": "626-623-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 VINE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900382745",
            "telephone_number": "323-603-0285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 W Duarte Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910079271",
            "country_code": "US",
            "telephone_number": "626-446-6618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WU",
        "first_name": "ALLAN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WTN Health of California PC
• Wu Shu Acupuncture
• Kalbert Su Wu-Tang
• Abbie Nicole Wu
• Abel Wu, M.D.
• Andrew Hao Wu
• Anna H. Wu, PHD
• Annie Wu, M.D.
• April Shih Wu, FNP-BC
• Arthur W. Wu, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Sep 16, 2021; 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.