Provider Demographics
NPI:1588458368
Name:MON, MAY SU
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:SU
Last Name:MON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4973 CENTRAL AVE APT 246
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94536-7700
Mailing Address - Country:US
Mailing Address - Phone:510-980-1649
Mailing Address - Fax:
Practice Address - Street 1:4973 CENTRAL AVE APT 246
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94536-7700
Practice Address - Country:US
Practice Address - Phone:510-980-1649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program