Healthcare Provider Details

I. General information

NPI: 1669136867
Provider Name (Legal Business Name): STEVEN C LAU MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2021
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 S RAYMOND AVE
ALHAMBRA CA
91801-3166
US

IV. Provider business mailing address

PO BOX 25033
SANTA ANA CA
92799-5033
US

V. Phone/Fax

Practice location:
  • Phone: 626-570-1606
  • Fax:
Mailing address:
  • Phone: 714-347-1010
  • Fax: 714-347-1082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN LAU
Title or Position: PRESIDENT
Credential: MD
Phone: 714-347-1000