Healthcare Provider Details

I. General information

NPI: 1881535367
Provider Name (Legal Business Name): SAM HUI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N PALM CANYON DR
PALM SPRINGS CA
92262-4402
US

IV. Provider business mailing address

1150 N PALM CANYON DR
PALM SPRINGS CA
92262-4402
US

V. Phone/Fax

Practice location:
  • Phone: 760-416-4568
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number5478
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: