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Organization
KHIEM D LAI MD INC
Active
Organization
KHIEM D LAI MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHIEM DINH LAI MD (PRESIDENT/MEDICAL DIRECTOR)
(714) 590-1949
Entity
Organization
Contact information
Practice address
12502 BROOKHURST STREET, GARDEN GROVE, CA 92840-4807
(714) 590-1949
(714) 636-3394
Mailing address
12502 BROOKHURST STREET, GARDEN GROVE, CA 92840-4807
(714) 590-1949
(714) 636-3394
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A86360
CA
Other
Enumeration date
09/25/2008
Last updated
01/30/2009
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