Provider Demographics
NPI:1023738929
Name:MEY, ADALYN
Entity type:Individual
Prefix:
First Name:ADALYN
Middle Name:
Last Name:MEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SAN
Other - Middle Name:
Other - Last Name:PUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1500 HUGHES WAY STE C150
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90810-1837
Mailing Address - Country:US
Mailing Address - Phone:855-252-7223
Mailing Address - Fax:
Practice Address - Street 1:1500 HUGHES WAY STE C150
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90810-1837
Practice Address - Country:US
Practice Address - Phone:185-525-2722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95210567163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management