| Khiem D Lai Md Inc | |
|
12502 Brookhurst Street Garden Grove CA 92840-4807 | |
| (714) 590-1949 | |
| (714) 636-3394 |
| Full Name | Khiem D Lai Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 12502 Brookhurst Street, Garden Grove, California |
| Authorized Official Name and Position | Khiem Dinh Lai (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7145901949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khiem D Lai Md Inc 12502 Brookhurst Street Garden Grove CA 92840-4807 Ph: (714) 590-1949 | Khiem D Lai Md Inc 12502 Brookhurst Street Garden Grove CA 92840-4807 Ph: (714) 590-1949 |
| NPI Number | 1265682306 |
|---|---|
| Provider Enumeration Date | 09/25/2008 |
| Last Update Date | 01/30/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265682306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A86360 (California) | Primary |
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