Provider Demographics
NPI:1578500336
Name:WU, MING-WEI DANIEL (DO)
Entity type:Individual
Prefix:DR
First Name:MING-WEI
Middle Name:DANIEL
Last Name:WU
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3750 S JONES BLVD
Mailing Address - Street 2:STE 120
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-2209
Mailing Address - Country:US
Mailing Address - Phone:888-434-8880
Mailing Address - Fax:855-434-8880
Practice Address - Street 1:3191 W TEMPLE AVE STE 110
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-4800
Practice Address - Country:US
Practice Address - Phone:888-434-8880
Practice Address - Fax:855-434-8880
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1229208600000X
UT10507734-1204208600000X
CA20A16824208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507829Medicaid
NV100507829Medicaid
NVI40206Medicare UPIN