Individual
PHONG QUOC LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
11234 ANDERSON ST, LLUMC, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, LLUMC, HOUSE STAFF OFFICE CP 21005, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20A10146
CA
Other
Enumeration date
01/29/2008
Last updated
11/29/2021
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