Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A168546 | CA |
NPI | 1023463288 |
---|---|
Provider Name | Miss Olivia Yu-Ping Lai |
First Address | Los Altos, CA 94022-1090 |
Second Address | Pleasanton, CA 94588-5802 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2016 |
Last Update Date | 20/12/2021 |