Individual
DONALD MANG-SUM LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 W LAS POSITAS BLVD STE 150, PLEASANTON, CA 94588-5805
(925) 534-6880
Mailing address
5565 W LAS POSITAS BLVD STE 150, PLEASANTON, CA 94588-5805
(925) 534-6880
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G54833
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G54833
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G548330
—
CA
Enumeration date
11/18/2005
Last updated
04/22/2024
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