Healthcare Provider Details

I. General information

NPI: 1548493869
Provider Name (Legal Business Name): DR. XIAO-MEI CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2009
Last Update Date: 09/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N ATLANTIC BLVD STE 246
MONTEREY PARK CA
91754-1579
US

IV. Provider business mailing address

111 N ATLANTIC BLVD STE 246
MONTEREY PARK CA
91754-1579
US

V. Phone/Fax

Practice location:
  • Phone: 626-576-1128
  • Fax:
Mailing address:
  • Phone: 626-576-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number58628
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: