Individual
MR. RICHARD LAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 N MOORE AVE, MONTEREY PARK, CA 91754-1062
(626) 543-5503
Mailing address
516 N MOORE AVE, MONTEREY PARK, CA 91754-1062
(626) 543-5503
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0173531
NY
Other
Enumeration date
04/24/2012
Last updated
04/24/2012
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