Individual
MINHTRUONG TONG LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 879-5963
Mailing address
2425 SAMARITAN DR, SAN JOSE, CA 95124-3908
(408) 879-5963
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A87630
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A87630
CA
207RP1001X
Pulmonary Disease Physician
Primary
A87630
CA
2084A2900X
Neurocritical Care Physician
A87630
CA
Other
Enumeration date
01/25/2007
Last updated
07/03/2024
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