Provider Demographics
NPI:1972051795
Name:VUE, MAIKAO
Entity type:Individual
Prefix:
First Name:MAIKAO
Middle Name:
Last Name:VUE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 E ARTESIA BLVD
Mailing Address - Street 2:#200
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-1352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:455 E ARTESIA BLVD
Practice Address - Street 2:#200
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-1352
Practice Address - Country:US
Practice Address - Phone:213-304-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker