Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | A42437 | CA |
NPI | 1043238413 |
---|---|
Provider Name | Chia Chi George Lai |
First Address | Monterey Park, CA 91754-1242 |
Second Address | Monterey Park, CA 91754-1242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 17/08/2020 |