Individual
CHI LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, STE B-186 CHS, LOS ANGELES, CA 90095-3075
(310) 794-7953
Mailing address
5767 W. CENTURY BLVD, #400, LOS ANGELES, CA 90045-3075
(310) 794-7953
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A90702
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A907020
—
CA
Enumeration date
06/12/2006
Last updated
02/23/2011
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