Provider Demographics
NPI:1316254840
Name:ONG, LAWRENCE (MD, MENG)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:
Last Name:ONG
Suffix:
Gender:M
Credentials:MD, MENG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N TUSTIN AVE
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3813
Mailing Address - Country:US
Mailing Address - Phone:800-888-2186
Mailing Address - Fax:714-426-8007
Practice Address - Street 1:400 N TUSTIN AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3813
Practice Address - Country:US
Practice Address - Phone:800-888-2186
Practice Address - Fax:714-426-8007
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA115027207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program