Provider Demographics
NPI:1467258459
Name:LAI, JOUYU AILEEN (RD)
Entity type:Individual
Prefix:
First Name:JOUYU
Middle Name:AILEEN
Last Name:LAI
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20060 PRAIRIE ST APT 231
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-6570
Mailing Address - Country:US
Mailing Address - Phone:562-206-9692
Mailing Address - Fax:
Practice Address - Street 1:20060 PRAIRIE ST APT 231
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-6570
Practice Address - Country:US
Practice Address - Phone:562-206-9692
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-20
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86434370133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered