Provider Demographics
NPI:1992805550
Name:LAU, MAY Y (MD)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:Y
Last Name:LAU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:MAY
Other - Middle Name:YUK
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 42073
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042-0073
Mailing Address - Country:US
Mailing Address - Phone:626-607-0288
Mailing Address - Fax:626-607-0399
Practice Address - Street 1:320 S GARFIELD AVE STE 288
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91801-6815
Practice Address - Country:US
Practice Address - Phone:626-607-0288
Practice Address - Fax:626-607-0399
Is Sole Proprietor?:No
Enumeration Date:2006-09-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG75371208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G753710Medicaid
CA00G753710Medicaid