Provider Demographics
NPI:1518086370
Name:MENG, STEVE VIBOL (BA)
Entity Type:Individual
Prefix:
First Name:STEVE
Middle Name:VIBOL
Last Name:MENG
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2691 PASADENA AVENUE.
Mailing Address - Street 2:APT. 10
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-5013
Mailing Address - Country:US
Mailing Address - Phone:562-424-1886
Mailing Address - Fax:562-424-2296
Practice Address - Street 1:3530 ATLANTIC AVE STE 210
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4569
Practice Address - Country:US
Practice Address - Phone:562-424-1886
Practice Address - Fax:562-424-2296
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2011-08-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner