Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | A50695 | CA |
NPI | 1184647950 |
---|---|
Provider Name | Mr. Lu-Wei King |
First Address | Barstow, CA 92311-3052 |
Second Address | Barstow, CA 92311-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 29/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023203882 | (05) | CA |
1033304894 | (05) | CA |
1184784555 | (05) | CA |
1790970077 | (05) | CA |
DM453A | (02) | CA |