Individual provider · Type 1 NPI

Jonathan Wu, PA-C

Surgical Physician Assistant · San Diego, CA

NPI number 1174612170 Active

Practice location

7525 Metropolitan Dr Ste 306
San Diego, CA 92108-4404

Fax (866) 813-1235

Mailing address

PO Box 722982
San Diego, CA 92172-2982

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA18550 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1174612170

Jonathan Wu, PA-C's National Provider Identifier is 1174612170, issued on Oct 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Dec 19, 2019.