Provider Demographics
NPI:1235406323
Name:LAI, CRISTOPHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CRISTOPHER
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 MILKY WAY
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-8889
Mailing Address - Country:US
Mailing Address - Phone:808-391-2747
Mailing Address - Fax:
Practice Address - Street 1:27551 PUERTA REAL
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6321
Practice Address - Country:US
Practice Address - Phone:949-367-0465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIPH-3263183500000X
CA68215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist