Healthcare Provider Details

I. General information

NPI: 1861221665
Provider Name (Legal Business Name): HONG CUI
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 07/30/2024
Certification Date: 07/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 BAY ST
SAN FRANCISCO CA
94133-1901
US

IV. Provider business mailing address

8333 CHEVALIER WAY
STOCKTON CA
95210-2278
US

V. Phone/Fax

Practice location:
  • Phone: 415-500-4777
  • Fax:
Mailing address:
  • Phone: 415-350-4948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number96411
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: