Provider Demographics
NPI:1962545913
Name:JOHN C WEI MD INC
Entity type:Organization
Organization Name:JOHN C WEI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:CHII-SEN
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-284-0022
Mailing Address - Street 1:3224 SANTA ANA ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2306
Mailing Address - Country:US
Mailing Address - Phone:323-567-2384
Mailing Address - Fax:
Practice Address - Street 1:3224 SANTA ANA ST
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-2306
Practice Address - Country:US
Practice Address - Phone:323-567-2384
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2007-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A348990Medicaid
CAWA34899BOtherMEDICARE PPIN
CAW7934AMedicare PIN
CAWA34899BOtherMEDICARE PPIN
CAA27623Medicare UPIN
CAW7934Medicare PIN