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General NPI Number Information
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NPI Number | 1235022880
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Entity Type | Organization
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Legal Business Name | PETER WEI MEDICAL CORPORATION
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 903 E DEL MAR BLVD
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City | PASADENA
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State | CA
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Zip | 91106-3201
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Country | US
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Telephone | 626-474-8996
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 S 10TH AVE
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City | ARCADIA
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State | CA
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Zip | 91006-4511
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER WEI
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Credential | DO
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Telephone | 626-474-8996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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