Provider Demographics
NPI:1235997131
Name:CAI, DONGJIAN
Entity Type:Individual
Prefix:
First Name:DONGJIAN
Middle Name:
Last Name:CAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 MOORPARK WAY SPC 132
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-2432
Mailing Address - Country:US
Mailing Address - Phone:650-448-9099
Mailing Address - Fax:
Practice Address - Street 1:501 MOORPARK WAY SPC 132
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-2432
Practice Address - Country:US
Practice Address - Phone:650-448-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician