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NPI Code Detail

MEDICARE: BENJAMIN CK LAU MD INC

MEDICARE: BENJAMIN CK LAU MD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianA60654CA

General Provider Information

NPI Number : 1396846416
Entity Type Code : Organization
Provider Name (Legal Business Name) : BENJAMIN CK LAU MD INC
Provider Business Mailing Address
First Line : 4306 GEARY BLVD
Second Line : SUITE 201
City : SAN FRANCISCO
State : CA
Zip : 94118-3059
Country : US
Telephone Number : 415-876-6400
Fax Number : 415-876-6402
Provider Business Practice Location Address
First Line : 4306 GEARY BLVD
Second Line : SUITE 201
City : SAN FRANCISCO
State : CA
Zip : 94118-3059
Country : US
Telephone Number : 415-876-6400
Fax Number : 415-876-6402
Authorized Official
Title or Position : OFFICER
Name : BENJAMIN CK LAU
Credential : MD
Telephone Number : 415-876-6400
Provider Enumeration Date : 09/25/2006
Last Update Date : 07/15/2019

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Directions to “BENJAMIN CK LAU MD INC ” Practice Location

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