Provider Demographics
NPI:1104175231
Name:CAI, BRIAN Q
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:Q
Last Name:CAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2290 NE WESTWOOD DR
Mailing Address - Street 2:APT# J304
Mailing Address - City:PULLMAN
Mailing Address - State:WA
Mailing Address - Zip Code:99163-5171
Mailing Address - Country:US
Mailing Address - Phone:714-365-3776
Mailing Address - Fax:
Practice Address - Street 1:2290 NE WESTWOOD DR
Practice Address - Street 2:APT# J304
Practice Address - City:PULLMAN
Practice Address - State:WA
Practice Address - Zip Code:99163-5171
Practice Address - Country:US
Practice Address - Phone:714-365-3776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAIR60298012390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program