Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | A135247 | CA |
N | 111NI0900X | Internist | A135247 | CA |
Y | 207RA0201X | Internist - Allergy & Immunology | A135247 | CA |
NPI | 1922369008 |
---|---|
Provider Name | Chongwei Cui |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Thousand Oaks, CA 91360-6096 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2012 |
Last Update Date | 14/08/2019 |