Provider Demographics
NPI:1881751758
Name:MENG, HSIAOYEN (DDS,MS)
Entity type:Individual
Prefix:DR
First Name:HSIAOYEN
Middle Name:
Last Name:MENG
Suffix:
Gender:F
Credentials:DDS,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 TEARDROP CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4242
Mailing Address - Country:US
Mailing Address - Phone:805-708-4388
Mailing Address - Fax:
Practice Address - Street 1:6336 FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:BELL GARDENS
Practice Address - State:CA
Practice Address - Zip Code:90201-4732
Practice Address - Country:US
Practice Address - Phone:562-806-3737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA418551223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAD41855OtherMEDICAL TREATMENT PROVIDE