Provider Demographics
NPI:1598853392
Name:SHEN, WEI-PING VIOLET (MD)
Entity Type:Individual
Prefix:
First Name:WEI-PING
Middle Name:VIOLET
Last Name:SHEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-3835
Mailing Address - Country:US
Mailing Address - Phone:714-509-4348
Mailing Address - Fax:714-509-8699
Practice Address - Street 1:455 S MAIN ST
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-3835
Practice Address - Country:US
Practice Address - Phone:714-516-4348
Practice Address - Fax:714-532-8699
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA393372080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHW16177OtherMEDICARE GRP
CA00A393370Medicaid
CAW16177OtherMEDICARE GRP
CAA28870Medicare UPIN