MEDICARE: EDWIN MONUKI 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	207ZP0101X	Anatomic Pathology Physician	000000G86546	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	WG86546A	OTHER	CA	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00G865460	OTHER	CA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568542728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWIN MONUKI MD

Provider Business Mailing Address
First Line	:	UCI DEPARTMENT OF PATHOLOGY
Second Line	:	PO BOX 513377
City	:	LOS ANGELES
State	:	CA
Zip	:	90051-3377
Country	:	US
Telephone Number	:	714-456-2986
Fax Number	:

Provider Business Practice Location Address
First Line	:	UCI MEDICAL CENTER
Second Line	:	101 THE CITY DRIVE SOUTH
City	:	ORANGE
State	:	CA
Zip	:	92868
Country	:	US
Telephone Number	:	714-456-2986
Fax Number	:

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/25/2008

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Directions to “ EDWIN MONUKI MD” Practice Location

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