Provider Demographics
NPI:1215054689
Name:LAI, ALAN H (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:H
Last Name:LAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2159 UNION ST
Mailing Address - Street 2:DR. ALAN LAI
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4003
Mailing Address - Country:US
Mailing Address - Phone:415-440-6632
Mailing Address - Fax:415-440-6632
Practice Address - Street 1:2159 UNION ST
Practice Address - Street 2:DR. ALAN LAI
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4003
Practice Address - Country:US
Practice Address - Phone:415-440-6632
Practice Address - Fax:415-440-6632
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG0704902084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
112565OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
112565OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER