| Chai-kiong Lau, M.d. Inc | |
|
39271 Mission Blvd Ste 105 Fremont CA 94539-3039 | |
| (510) 742-0568 | |
| (510) 742-0596 |
| Full Name | Chai-kiong Lau, M.d. Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 39271 Mission Blvd Ste 105, Fremont, California |
| Authorized Official Name and Position | Chai-kiong Lau (PRESIDENT) |
| Authorized Official Contact | 5107420568 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chai-kiong Lau, M.d. Inc 39271 Mission Blvd Ste 105 Fremont CA 94539-3039 Ph: (510) 742-0568 | Chai-kiong Lau, M.d. Inc 39271 Mission Blvd Ste 105 Fremont CA 94539-3039 Ph: (510) 742-0568 |
| NPI Number | 1871030577 |
|---|---|
| Provider Enumeration Date | 01/19/2017 |
| Last Update Date | 01/19/2017 |
| Medicare PECOS PAC ID | 8123301116 |
|---|---|
| Medicare Enrollment ID | O20170217001189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871030577 | NPI | - | NPPES |
| 0062531 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A53742 (California) | Primary |
| Provider Name | Chai-kiong Lau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912957309 PECOS PAC ID: 7810157146 Enrollment ID: I20120323000606 |
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