Provider Demographics
NPI:1487677977
Name:LAI, NAM MINH (MD)
Entity Type:Individual
Prefix:DR
First Name:NAM
Middle Name:MINH
Last Name:LAI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 4148
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90510-4148
Mailing Address - Country:US
Mailing Address - Phone:310-792-3914
Mailing Address - Fax:855-898-4055
Practice Address - Street 1:3465 TORRANCE BLVD
Practice Address - Street 2:SUITE W
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90503-5804
Practice Address - Country:US
Practice Address - Phone:310-792-3914
Practice Address - Fax:855-898-4055
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2014-08-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG53709207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG53709OtherSTATE LICENSE