MEDICARE: EMILY WEN WEI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207L00000X	Anesthesiology Physician	A192300	CA

General Provider Information

NPI Number	:	1598341695
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY WEN WEI MD

Provider Business Mailing Address
First Line	:	4150 V ST STE PSSB1200
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1460
Country	:	US
Telephone Number	:	916-734-5028
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 V ST STE PSSB1200
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-1460
Country	:	US
Telephone Number	:	916-734-5028
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2021
Last Update Date	:	05/29/2026

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Directions to “ EMILY WEN WEI MD” Practice Location

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