Healthcare Provider Details

I. General information

NPI: 1790045714
Provider Name (Legal Business Name): RANDY LI-HUNG WEI M.D., PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2012
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

18111 BROOKHURST ST. LL0300
FOUNTAIN VALLEY CA
92708-6728
US

V. Phone/Fax

Practice location:
  • Phone: 714-962-7100
  • Fax: 714-963-7600
Mailing address:
  • Phone: 408-758-8833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberA129580
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: