Provider Demographics
NPI:1316105554
Name:LAI, EN MING (DO)
Entity type:Individual
Prefix:DR
First Name:EN MING
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:616 N GARFIELD AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1141
Mailing Address - Country:US
Mailing Address - Phone:626-280-1181
Mailing Address - Fax:626-572-5359
Practice Address - Street 1:616 N GARFIELD AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1141
Practice Address - Country:US
Practice Address - Phone:626-280-1181
Practice Address - Fax:626-572-5359
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-23
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6144207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A6144Medicare PIN