Individual
DR. STANLEY KWONG LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776-3731
(626) 308-3800
(626) 308-1899
Mailing address
506 W VALLEY BLVD, SAN GABRIEL, CA 91776-3731
(626) 308-3800
(626) 308-1899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A46648
CA
207RI0011X
Interventional Cardiology Physician
A46648
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A466480
BLUE SHIELD OF CA
CA
05
—
00A466480
—
CA
01
—
10959167
CAQH #
CA
01
—
RHD136312
FLURO/X-RAY SUPERVISOR
CA
Enumeration date
04/04/2006
Last updated
03/17/2018
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