Basic Information
Provider Information | |||||||||
NPI: | 1093155780 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | TAUR | ||||||||
FirstName: | MEI-JIUAN | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | LMFT | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | TAUR | ||||||||
OtherFirstName: | MEI | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: | 5 | ||||||||
Mailing Information | |||||||||
Address1: | 16052 BEACH BLVD | ||||||||
Address2: | SUITE 212 | ||||||||
City: | HUNTINGTON BEACH | ||||||||
State: | CA | ||||||||
PostalCode: | 926473801 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7143624616 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 9353 VALLEY BLVD | ||||||||
Address2: | SUITE C | ||||||||
City: | ROSEMEAD | ||||||||
State: | CA | ||||||||
PostalCode: | 917701934 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 6262872988 | ||||||||
FaxNumber: | 6262871937 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/27/2013 | ||||||||
LastUpdateDate: | 09/30/2013 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | MFC52238 | CA | Y |   | Behavioral Health & Social Service Providers | Marriage & Family Therapist |   |
No ID Information.