Provider Demographics
NPI:1518983493
Name:HUI, JENNIFER I (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:I
Last Name:HUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41990 COOK ST BLDG F
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6100
Mailing Address - Country:US
Mailing Address - Phone:760-610-2677
Mailing Address - Fax:760-610-6101
Practice Address - Street 1:41990 COOK ST
Practice Address - Street 2:BUILDING F #1007
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6100
Practice Address - Country:US
Practice Address - Phone:760-610-2677
Practice Address - Fax:760-610-6101
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115818207W00000X, 207WX0200X
FLME95255207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2759357-00Medicaid
CAFI593AMedicare UPIN
FLI73406Medicare UPIN