Individual
DR. GARY KAMAN LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3751 KATELLA AVE, LOS ALAMITOS, CA 90720-3113
(562) 598-1311
Mailing address
PO BOX 650881, DALLAS, TX 75265-0881
(972) 715-5000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A99891
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A998910
BLUESHIELD
CA
05
—
1740477017
—
CA
01
—
1942504501
BLUECROSS
CA
Enumeration date
10/01/2007
Last updated
07/21/2011
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