Provider Demographics
NPI:1700945581
Name:MEI, NI (LAC)
Entity Type:Individual
Prefix:MRS
First Name:NI
Middle Name:
Last Name:MEI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9655 MONTE VISTA AVE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2238
Mailing Address - Country:US
Mailing Address - Phone:909-621-2179
Mailing Address - Fax:909-621-2175
Practice Address - Street 1:9655 MONTE VISTA AVE
Practice Address - Street 2:SUITE 408
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2238
Practice Address - Country:US
Practice Address - Phone:909-621-2179
Practice Address - Fax:909-621-2175
Is Sole Proprietor?:No
Enumeration Date:2006-12-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC8140171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist