Provider Demographics
NPI:1184704652
Name:YAT KI LAI, ACUPUNCTURE PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:YAT KI LAI, ACUPUNCTURE PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YAT KI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:L AC, OMD
Authorized Official - Phone:415-922-1818
Mailing Address - Street 1:2400 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3367
Mailing Address - Country:US
Mailing Address - Phone:415-922-1818
Mailing Address - Fax:415-922-1822
Practice Address - Street 1:2400 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-3367
Practice Address - Country:US
Practice Address - Phone:415-922-1818
Practice Address - Fax:415-922-1822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC164171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty