Individual
EDWIN MONUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
UCI MEDICAL CENTER, 101 THE CITY DRIVE SOUTH, ORANGE, CA 92868
(714) 456-2986
Mailing address
UCI DEPARTMENT OF PATHOLOGY, PO BOX 513377, LOS ANGELES, CA 90051-3377
(714) 456-2986
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
000000G86546
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G865460
BLUE SHIELD
CA
05
—
00G865460
—
CA
01
—
WG86546A
MEDICARE PTAN
CA
Enumeration date
10/16/2006
Last updated
03/25/2008
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