Provider Demographics
NPI:1851955991
Name:CHAI, NOVEMINDA
Entity Type:Individual
Prefix:
First Name:NOVEMINDA
Middle Name:
Last Name:CHAI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1511 SYCAMORE AVE # M134
Mailing Address - Street 2:
Mailing Address - City:HERCULES
Mailing Address - State:CA
Mailing Address - Zip Code:94547-1767
Mailing Address - Country:US
Mailing Address - Phone:510-439-6844
Mailing Address - Fax:
Practice Address - Street 1:3220 BLUME DR STE 116
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-1903
Practice Address - Country:US
Practice Address - Phone:510-375-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-24
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator