Provider Demographics
NPI:1174797914
Name:WEI, ZHU PAN (MD)
Entity type:Individual
Prefix:
First Name:ZHU
Middle Name:PAN
Last Name:WEI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:WEI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:16300 SAND CANYON AVE STE 888
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-3711
Mailing Address - Country:US
Mailing Address - Phone:949-825-6908
Mailing Address - Fax:949-825-6907
Practice Address - Street 1:16300 SAND CANYON AVE STE 888
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-3711
Practice Address - Country:US
Practice Address - Phone:949-825-6908
Practice Address - Fax:949-825-6907
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-14
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102258207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology