Healthcare Provider Details

I. General information

NPI: 1235214776
Provider Name (Legal Business Name): ARTHUR MOY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CECIL ST
MONTEREY PARK CA
91755-3317
US

IV. Provider business mailing address

540 CECIL ST
MONTEREY PARK CA
91755-3317
US

V. Phone/Fax

Practice location:
  • Phone: 800-854-7771
  • Fax:
Mailing address:
  • Phone: 800-854-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10685
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: