Provider Demographics
NPI:1003938549
Name:LAI, ZONA C (PHD)
Entity Type:Individual
Prefix:MS
First Name:ZONA
Middle Name:C
Last Name:LAI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 TORREY PINES RD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-3309
Mailing Address - Country:US
Mailing Address - Phone:858-551-8360
Mailing Address - Fax:
Practice Address - Street 1:2037 TORREY PINES RD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-3309
Practice Address - Country:US
Practice Address - Phone:858-551-8360
Practice Address - Fax:858-551-8360
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-04
Last Update Date:2016-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY15697103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACP15697Medicare UPIN