Healthcare Provider Details

I. General information

NPI: 1972434868
Provider Name (Legal Business Name): JINGYI CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 DOWNEY AVE
PARAMOUNT CA
90723-5528
US

IV. Provider business mailing address

5672 MARCELLA CIR
CYPRESS CA
90630-4566
US

V. Phone/Fax

Practice location:
  • Phone: 562-602-8004
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number34429
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: