Provider Demographics
NPI:1841095700
Name:WEI, TAMEKA L
Entity type:Individual
Prefix:
First Name:TAMEKA
Middle Name:L
Last Name:WEI
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 1:204 VIA CONTENTO
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-4956
Mailing Address - Country:US
Mailing Address - Phone:949-243-1410
Mailing Address - Fax:
Practice Address - Street 1:1213 AVIATOR LN S
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92782-1701
Practice Address - Country:US
Practice Address - Phone:949-412-5939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-14
Last Update Date:2025-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician