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
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000XMFC52238CAY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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