Provider Demographics
NPI:1982814828
Name:SAECHAO, MEY CHIEM
Entity Type:Individual
Prefix:MS
First Name:MEY
Middle Name:CHIEM
Last Name:SAECHAO
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 1:2645 GRANDE VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1317
Mailing Address - Country:US
Mailing Address - Phone:510-910-6679
Mailing Address - Fax:
Practice Address - Street 1:1700 BROADWAY FL 5
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-2141
Practice Address - Country:US
Practice Address - Phone:510-273-4200
Practice Address - Fax:510-273-8340
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2015-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program