Provider Demographics
NPI:1053442897
Name:LAI, MING HEI (RPH)
Entity Type:Individual
Prefix:
First Name:MING HEI
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3550 S LA BREA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-5219
Mailing Address - Country:US
Mailing Address - Phone:323-293-9397
Mailing Address - Fax:323-293-2832
Practice Address - Street 1:3550 S LA BREA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-5219
Practice Address - Country:US
Practice Address - Phone:323-293-9397
Practice Address - Fax:323-293-2832
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00054708183500000X
CARPH63865183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist