Provider Demographics
NPI:1255486544
Name:LAI, YI-HSIEN (LAC)
Entity Type:Individual
Prefix:
First Name:YI-HSIEN
Middle Name:
Last Name:LAI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10414 VACCO ST.
Mailing Address - Street 2:
Mailing Address - City:SOUTH EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91733-3350
Mailing Address - Country:US
Mailing Address - Phone:626-636-8706
Mailing Address - Fax:626-636-8737
Practice Address - Street 1:10414 VACCO ST.
Practice Address - Street 2:
Practice Address - City:SOUTH EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91733-3350
Practice Address - Country:US
Practice Address - Phone:626-636-8706
Practice Address - Fax:626-636-8737
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8087171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0080870Medicaid