Individual
KAM YUNG LAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2615
(951) 782-3675
(951) 784-3272
Mailing address
3660 ARLINGTON AVE, RIVERSIDE, CA 92506-3612
(951) 782-5110
(951) 274-0403
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A37080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730180415
GRUP NPI
—
01
—
ZZZ31887X
GROUP SITE NUMBER
—
Enumeration date
11/17/2005
Last updated
12/29/2010
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