Provider Demographics
NPI:1881873032
Name:CHAU-PO WEI, M.D., INC.
Entity type:Organization
Organization Name:CHAU-PO WEI, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAU-PO
Authorized Official - Middle Name:
Authorized Official - Last Name:WEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-572-7442
Mailing Address - Street 1:616 N GARFIELD AVE STE 305
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1101
Mailing Address - Country:US
Mailing Address - Phone:626-572-7442
Mailing Address - Fax:626-572-3910
Practice Address - Street 1:616 N GARFIELD AVE STE 305
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1101
Practice Address - Country:US
Practice Address - Phone:626-572-7442
Practice Address - Fax:626-572-3910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA30134261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA30134OtherMEDICARE-ID
CA00A301340Medicaid
CAA30134OtherMEDICARE-ID