Provider Demographics
NPI:1255548509
Name:LAI, CHIOU-LING (MFC)
Entity type:Individual
Prefix:
First Name:CHIOU-LING
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3616 CAMINITO CIELO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2323
Mailing Address - Country:US
Mailing Address - Phone:858-259-8806
Mailing Address - Fax:
Practice Address - Street 1:3914 MURPHY CANYON RD STE A237
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4416
Practice Address - Country:US
Practice Address - Phone:858-245-4075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42558106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist