Organization
SEAN CHEONG F LAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN CHEONG LAI M.D. (OWNER)
(310) 453-0553
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 1286W, SANTA MONICA, CA 90404-2102
(310) 453-0553
(310) 829-3400
Mailing address
2001 SANTA MONICA BLVD, 1286W, SANTA MONICA, CA 90404-2102
(310) 453-0553
(310) 829-3400
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G40912
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0098070
—
CA
01
—
ZZZ65413Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/25/2006
Last updated
09/08/2010
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