Individual
DR. JIM LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-4570
(818) 907-2814
Mailing address
PO BOX 1972, BURBANK, CA 91507-1972
(818) 988-3123
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A89768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A897680
—
CA
Enumeration date
06/14/2006
Last updated
07/19/2012
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