Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A113482 | CA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A113482 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD60341945 | WA |
NPI | 1265661177 |
---|---|
Provider Name | Dr. Jasmine Lai |
First Address | San Diego, CA 92121-2138 |
Second Address | San Diego, CA 92121 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2009 |
Last Update Date | 17/08/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1265661177 | (05) | WA |