Healthcare Provider Details
I. General information
NPI: 1841155322
Provider Name (Legal Business Name): EYE CUE MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
17215 STUDEBAKER RD STE 110
CERRITOS CA
90703-2521
US
IV. Provider business mailing address
17215 STUDEBAKER RD STE 110
CERRITOS CA
90703-2521
US
V. Phone/Fax
- Phone: 562-716-6726
- Fax: 562-735-3913
- Phone: 562-716-6726
- Fax: 562-735-3913
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SAQIB
IQBAL
Title or Position: CEO
Credential: LCSW
Phone: 562-716-6726