Provider Demographics
NPI:1023463288
Name:LAI, OLIVIA YU-PING (MD)
Entity type:Individual
Prefix:MISS
First Name:OLIVIA
Middle Name:YU-PING
Last Name:LAI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4300 EL CAMINO REAL STE 100
Mailing Address - Street 2:
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94022-1090
Mailing Address - Country:US
Mailing Address - Phone:650-325-6000
Mailing Address - Fax:
Practice Address - Street 1:5575 W LAS POSITAS BLVD STE 230
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-5802
Practice Address - Country:US
Practice Address - Phone:925-416-1122
Practice Address - Fax:925-416-2291
Is Sole Proprietor?:No
Enumeration Date:2016-04-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA168546207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology