Individual
AMY DIEM LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4005 MISSION OAKS BLVD STE A, CAMARILLO, CA 93012-5156
(805) 484-7921
(805) 983-4186
Mailing address
2801 CIMMARON AVE, SIMI VALLEY, CA 93065-1308
(805) 813-4277
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/06/2021
Last updated
06/10/2024
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