Individual
DR. DANITA LAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
28222 AGOURA RD STE 400, AGOURA HILLS, CA 91301-2411
(818) 597-0070
(818) 597-0278
Mailing address
28222 AGOURA RD STE 400, AGOURA HILLS, CA 91301-2411
(818) 597-0070
(818) 597-0278
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8019TLG
CA
152WV0400X
Vision Therapy Optometrist
Primary
8019 TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0380900002
PTAN#
CA
05
—
SD0080190
—
CA
Enumeration date
02/28/2006
Last updated
01/03/2020
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