DR. PHILLIS WU (NPI# 1174716328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174716328 |
| Entity Type | Individual |
| Full Name | DR. PHILLIS WU |
| Credential | M.D. |
| Practice Address |
14445 Olive View Dr Rm 6b119-h Sylmar CA 91342-1437 |
| Practice Telephone | 8183643031 |
| Mailing Telephone | 8183643031 |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2019-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A101866 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
14445 OLIVE VIEW DR RM 6B119-H |
| City | SYLMAR |
| State | CA |
| Zip Code | 91342-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013118595 | Monique Rubin | Podiatrist | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-05-30 |
| 1891982377 | Wang-dar Sun | Pediatrics | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-09-28 |
| 1801080320 | Le Yu | Surgery | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-08-28 |
| 1700078680 | Nghi V. Hoang | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-08-14 |
| 1487845723 | Payman Fathizadeh | Pathology | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-08-01 |
| 1184824252 | Abhishek Sharma | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-07-18 |
| 1083813687 | Peter J. Chung | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-07-13 |
| 1376742973 | Candice Elizabeth Taylor | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-07-13 |
| 1982803599 | Usha Kiran Chaudhary | Pediatrics | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-07-13 |
| 1962601575 | Jane Melissa Shay | Pediatrics | 14445 Olive View Dr Rm 6b119-h, Sylmar, CA 91342-1437 | 2007-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629687223 | Evelyn Pinto Morales | Technician, Other | 14445 Olive View Dr, Sylmar, CA 91342 | 2020-07-29 |
| 1528520988 | Yeun Lim | Student in an Organized Health Care Education/Training Program | 14445 Olive View Dr., Cottage H1, Attn D. Ray, Sylmar, CA 91342 | 2019-04-04 |
| 1467914317 | Sevak Hovagimyan | Pharmacist | 13677 Foothill Blvd #b, Sylmar, CA 91342 | 2019-04-01 |
| 1619455086 | Cameda Trichele Dickerson | Counselor | Phoenix House 116600 Eldridge, Lake View Terrace, CA 91342 | 2018-07-30 |
| 1407349624 | Joseph Sungkon Choi | Acupuncturist | 10274 Foothill Blvd, Sylmar, CA 91342 | 2018-06-12 |
| 1780194522 | Joe Anthony Cardenas | Specialist/Technologist | 15450 Roxford Street, Sylmar, CA 91342 | 2017-10-06 |
| 1336668466 | Juan Hernandez | Chiropractor | 13950 Foothill Blvd Apt 108, Sylmar, CA 91342 | 2017-09-09 |
| 1891213492 | Richard Ignacio Martinez | Nurse Practitioner | 14987 Oro Grande St., Sylmar, CA 91342 | 2017-09-03 |
| 1104349497 | Vanessa Gamboa | Social Worker | 13145 Bromont Ave., 14, Sylmar, CA 91342 | 2017-07-19 |
| 1982138368 | Christina Guest | Psychiatry & Neurology | Olive View Medical Center, 14445 Olive View Drive, Sylmar, CA 91342 | 2017-04-12 |
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| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144548652 | Victor Chiu | Internal Medicine | 14445 Olive View Dr Ste 2a157, Sylmar, CA 91342-1437 | 2010-05-07 |
| 1427375369 | Phyllis S Kim | Internal Medicine | 14445 Olive View Dr, Dept of Medicine, 2b182, Sylmar, CA 91342-1437 | 2010-05-03 |
| 1730392465 | Vasan, Ragachari S. M.d. | Internal Medicine | 14124 Foothill Blvd, Sylmar, CA 91342-8049 | 2007-05-08 |
| 1215028725 | Leland D Powell | Internal Medicine | 14445 Olive View Dr, Suite 2b-182, Sylmar, CA 91342-1437 | 2006-09-28 |
| 1588630834 | Jeffrey Miller | Internal Medicine | 14445 Olive View Dr, Dept of Medicine 2b-182, Sylmar, CA 91342-1437 | 2006-02-27 |
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| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
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| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.