Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | A116091 | CA |
NPI | 1932495041 |
---|---|
Provider Name | Dr. Chung Lau |
First Address | Beverly Hills, CA 90212-3610 |
Second Address | Beverly Hills, CA 90212-3610 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2011 |
Last Update Date | 27/06/2011 |