Individual
DR. MIKE QUOC CHAU LA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 16TH ST, SUITE 2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
(310) 319-4908
Mailing address
1250 16TH ST, SUITE 2304, SANTA MONICA, CA 90404-1249
(310) 319-4698
(310) 319-4908
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A112861
CA
208000000X
Pediatrics Physician
A112861
CA
208M00000X
Hospitalist Physician
Primary
A112861
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790949535
—
CA
Enumeration date
07/10/2008
Last updated
03/28/2017
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