Healthcare Provider Details

I. General information

NPI: 1538482070
Provider Name (Legal Business Name): MADY MEI PIK CHENG LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2010
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1881 COMMERCENTER E STE 232
SAN BERNARDINO CA
92408-3479
US

IV. Provider business mailing address

9442 CAPRICORN WAY
SAN DIEGO CA
92126-4868
US

V. Phone/Fax

Practice location:
  • Phone: 858-333-7876
  • Fax:
Mailing address:
  • Phone: 858-663-7556
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: