Provider Demographics
NPI:1871652784
Name:LUI, WAI PING DIANA (CA)
Entity Type:Individual
Prefix:
First Name:WAI PING
Middle Name:DIANA
Last Name:LUI
Suffix:
Gender:F
Credentials:CA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3318 DEL MAR AVE
Mailing Address - Street 2:#203
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770
Mailing Address - Country:US
Mailing Address - Phone:626-280-2107
Mailing Address - Fax:626-280-3382
Practice Address - Street 1:3318 DEL MAR AVE
Practice Address - Street 2:#203
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770
Practice Address - Country:US
Practice Address - Phone:626-280-2107
Practice Address - Fax:626-280-3382
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC2631171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0026310Medicaid