Provider Demographics
NPI:1609224088
Name:VAID, UMAIR
Entity Type:Individual
Prefix:MR
First Name:UMAIR
Middle Name:
Last Name:VAID
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 1:10 WEST BAY STREET
Mailing Address - Street 2:PO BOX 954
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91802
Mailing Address - Country:US
Mailing Address - Phone:213-473-6183
Mailing Address - Fax:
Practice Address - Street 1:5319 SANTA ANITA AVE
Practice Address - Street 2:
Practice Address - City:TEMPLE CITY
Practice Address - State:CA
Practice Address - Zip Code:91780-3626
Practice Address - Country:US
Practice Address - Phone:323-999-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-26
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANONE YET1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical