Provider Demographics
NPI:1154337319
Name:LAU, KEI-CHUEN JOHN (MD)
Entity type:Individual
Prefix:
First Name:KEI-CHUEN
Middle Name:JOHN
Last Name:LAU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:9928 FLOWER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5453
Mailing Address - Country:US
Mailing Address - Phone:562-804-6476
Mailing Address - Fax:562-804-6480
Practice Address - Street 1:9928 FLOWER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5453
Practice Address - Country:US
Practice Address - Phone:562-804-6476
Practice Address - Fax:562-804-6480
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2023-11-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA432292084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOOA43229Medicaid
CAOOA43229Medicaid
WA43229AMedicare PIN