| Jimmy Lau Dds Inc | |
|
914 E Garvey Ave Monterey Park CA 91755-3044 | |
| (626) 280-5280 | |
| Not Available |
| Full Name | Jimmy Lau Dds Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 914 E Garvey Ave, Monterey Park, California |
| Authorized Official Name and Position | Jimmy Lau (CEO) |
| Authorized Official Contact | 6263489433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Lau Dds Inc 914 E Garvey Ave Monterey Park CA 91755-3044 Ph: (626) 280-5280 | Jimmy Lau Dds Inc 914 E Garvey Ave Monterey Park CA 91755-3044 Ph: (626) 280-5280 |
| NPI Number | 1356829402 |
|---|---|
| Provider Enumeration Date | 08/01/2018 |
| Last Update Date | 08/01/2018 |
| Medicare PECOS PAC ID | 9335472356 |
|---|---|
| Medicare Enrollment ID | O20190606001619 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356829402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Jimmy Lau |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1043696677 PECOS PAC ID: 9436467446 Enrollment ID: I20190606001657 |
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