Provider Demographics
NPI:1295750537
Name:LAI, MAN-LING (LAC, DACM)
Entity type:Individual
Prefix:DR
First Name:MAN-LING
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12841 LUNADA PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-1114
Mailing Address - Country:US
Mailing Address - Phone:858-451-1571
Mailing Address - Fax:
Practice Address - Street 1:11939 RANCHO BERNARDO RD STE 105
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2073
Practice Address - Country:US
Practice Address - Phone:619-786-7579
Practice Address - Fax:619-752-2220
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 4288171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist