Individual
DR. TIM TIEN LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11100 WARNER AVE, STE 152, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2521
(714) 486-2613
Mailing address
11100 WARNER AVE, STE 152, FOUNTAIN VALLEY, CA 92708-7510
(714) 486-2521
(714) 486-2613
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A128380
CA
Other
Enumeration date
05/09/2012
Last updated
03/29/2020
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