Provider Demographics
NPI:1568644763
Name:MAYEDA, HUONG (MA)
Entity Type:Individual
Prefix:
First Name:HUONG
Middle Name:
Last Name:MAYEDA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:
Other - Last Name:MAYEDA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5233 SUMNER AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1036
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5675 TELEGRAPH RD STE 260
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:CA
Practice Address - Zip Code:90040-1570
Practice Address - Country:US
Practice Address - Phone:323-838-9566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor