MEDICARE: MS. WENTING WEI NP

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	363LF0000X	Family Nurse Practitioner	F1020335	CA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2022067559	CA

General Provider Information

NPI Number	:	1619575198
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. WENTING WEI NP

Provider Business Mailing Address
First Line	:	201 W GARVEY AVE STE 102
Second Line	:
City	:	MONTEREY PARK
State	:	CA
Zip	:	91754-7425
Country	:	US
Telephone Number	:	626-461-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 W TEMPLE ST STE 1007
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-7329
Country	:	US
Telephone Number	:	213-989-6100
Fax Number	:

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

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	12/06/2024

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