Provider Demographics
NPI:1245249796
Name:WEN, YU-CHING EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:YU-CHING
Middle Name:EUGENIA
Last Name:WEN
Suffix:
Gender:F
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:310-301-8708
Mailing Address - Fax:310-301-8751
Practice Address - Street 1:200 MEDICAL PLZ
Practice Address - Street 2:365
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-0001
Practice Address - Country:US
Practice Address - Phone:310-828-0174
Practice Address - Fax:310-828-2824
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2008-07-09
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Provider Licenses
StateLicense IDTaxonomies
CAG080088207RP1001X
CAG80088207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG80088CMedicare PIN
CAWG80088DMedicare PIN