Provider Demographics
NPI:1154317022
Name:LAI, TUNG N (MD)
Entity Type:Individual
Prefix:DR
First Name:TUNG
Middle Name:N
Last Name:LAI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:10737 CAMINO RUIZ
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126
Mailing Address - Country:US
Mailing Address - Phone:858-653-0147
Mailing Address - Fax:858-653-0432
Practice Address - Street 1:10737 CAMINO RUIZ
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126
Practice Address - Country:US
Practice Address - Phone:858-653-0147
Practice Address - Fax:858-653-0432
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA76454207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H50982Medicare UPIN