Provider Demographics
NPI:1952336216
Name:NIU, PAUL CHENG-TE (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:CHENG-TE
Last Name:NIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 54130
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90054-0130
Mailing Address - Country:US
Mailing Address - Phone:951-687-3400
Mailing Address - Fax:951-687-7630
Practice Address - Street 1:2057 COMPTON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92881-7287
Practice Address - Country:US
Practice Address - Phone:951-736-6757
Practice Address - Fax:951-736-0167
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA46376207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A463760Medicaid
CABT838ZMedicare PIN
CAA28869Medicare UPIN