Healthcare Provider Details

I. General information

NPI: 1962683888
Provider Name (Legal Business Name): CHUN HUA CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 S BROOKHURST RD STE 102
FULLERTON CA
92833-4492
US

IV. Provider business mailing address

1401 S BROOKHURST RD STE 102
FULLERTON CA
92833-4492
US

V. Phone/Fax

Practice location:
  • Phone: 714-870-8198
  • Fax: 714-870-8199
Mailing address:
  • Phone: 714-870-8198
  • Fax: 714-870-8199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC10833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: