Provider Demographics
NPI:1992939938
Name:LAU, CLORINDA YUEN MON (DC)
Entity type:Individual
Prefix:DR
First Name:CLORINDA
Middle Name:YUEN MON
Last Name:LAU
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CLO
Other - Middle Name:YUEN MON
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:2033 SANTA CLARA AVE
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501
Mailing Address - Country:US
Mailing Address - Phone:510-865-9355
Mailing Address - Fax:415-889-6449
Practice Address - Street 1:2033 SANTA CLARA AVE
Practice Address - Street 2:
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501
Practice Address - Country:US
Practice Address - Phone:510-865-9355
Practice Address - Fax:415-889-6449
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31140111N00000X
NY012107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor