Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 20A18476 | CA |
Y | 111NI0900X | Internist | 20A18476 | CA |
NPI | 1003342395 |
---|---|
Provider Name | Eric Cui |
First Address | Monterey Park, CA 91754-1202 |
Second Address | Monterey Park, CA 91754-1202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2017 |
Last Update Date | 14/02/2022 |