Organization
CHAI-KIONG LAU, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAI-KIONG LAU M.D. (PRESIDENT)
(510) 742-0568
Entity
Organization
Contact information
Practice address
39271 MISSION BLVD STE 105, FREMONT, CA 94539-3039
(510) 742-0568
(510) 742-0596
Mailing address
39271 MISSION BLVD STE 105, FREMONT, CA 94539-3039
(510) 742-0568
(510) 742-0596
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A53742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062531
—
CA
Enumeration date
01/19/2017
Last updated
01/19/2017
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