Provider Demographics
NPI:1982096327
Name:ALBERT LAI, MD
Entity Type:Organization
Organization Name:ALBERT LAI, MD
Other - Org Name:KL MEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:LAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-520-0809
Mailing Address - Street 1:1736 W MEDICAL CENTER DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-1854
Mailing Address - Country:US
Mailing Address - Phone:714-520-0809
Mailing Address - Fax:714-520-0835
Practice Address - Street 1:1736 W MEDICAL CENTER DR
Practice Address - Street 2:SUITE B
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1854
Practice Address - Country:US
Practice Address - Phone:714-520-0809
Practice Address - Fax:714-520-0835
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA86192174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty