Provider Demographics
NPI:1184657488
Name:HUI, EDWARD KWOK-HO (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:KWOK-HO
Last Name:HUI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5767 W CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5632
Mailing Address - Country:US
Mailing Address - Phone:310-319-4377
Mailing Address - Fax:310-319-4425
Practice Address - Street 1:1245 16TH ST
Practice Address - Street 2:# 125
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-1235
Practice Address - Country:US
Practice Address - Phone:310-319-4366
Practice Address - Fax:310-319-4425
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-12-14
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Provider Licenses
StateLicense IDTaxonomies
CAA81094207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A810940Medicaid
CAWA81094DMedicare PIN
CAI44442Medicare UPIN
CAWA81094BMedicare PIN
CAWA81094CMedicare PIN