Provider Demographics
NPI:1942563937
Name:WEI, REBECCA SING (PA-C)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:SING
Last Name:WEI
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 112
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-0112
Mailing Address - Country:US
Mailing Address - Phone:213-208-1548
Mailing Address - Fax:323-441-9909
Practice Address - Street 1:2051 MARENGO ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1352
Practice Address - Country:US
Practice Address - Phone:323-409-1000
Practice Address - Fax:323-441-9909
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-24
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA22342363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant