# JASON S. LAI, M.D.,INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396930038
- **Authorized official:** DR. JASON SHUNG LAI M.D. (OWNER)
- **Authorized official phone:** (562) 907-7600

## Contact information

- **Practice address:** 14350 WHITTIER BLVD STE 100, WHITTIER, CA 90605-2122
- **Practice address phone:** (562) 907-7600
- **Practice address fax:** (562) 907-7602
- **Mailing address:** 14350 WHITTIER BLVD STE 100, WHITTIER, CA 90605-2122
- **Mailing address phone:** (562) 907-7600
- **Mailing address fax:** (562) 907-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | A86130 | CA | Yes |

## Other

- **Enumeration date:** 09/06/2007
- **Last updated:** 03/26/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A86130 | LICENSE | CA |