1518117662 NPI number — MISS MUNNYUAN SAECHAO PSYD, LCSW, PPSC

Table of content: MISS MUNNYUAN SAECHAO PSYD, LCSW, PPSC (NPI 1518117662)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518117662 NPI number — MISS MUNNYUAN SAECHAO PSYD, LCSW, PPSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAECHAO
Provider First Name:
MUNNYUAN
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
PSYD, LCSW, PPSC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SAECHAO
Provider Other First Name:
MUNN
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSYD, LCSW, PPSC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1518117662
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/11/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 W EL CAMINO REAL STE 180
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOUNTAIN VIEW
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94040-2586
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-880-3132
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
800 W EL CAMINO REAL STE 180
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNTAIN VIEW
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94040-2586
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-880-3132
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/25/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 87030 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)