Healthcare Provider Details

I. General information

NPI: 1487670907
Provider Name (Legal Business Name): CHRISTOPHER LAI M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/12/2025
Certification Date: 01/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W LA PALMA AVE
ANAHEIM CA
92801-2804
US

IV. Provider business mailing address

2160 BARRANCA PKWY # 1057
IRVINE CA
92606-4940
US

V. Phone/Fax

Practice location:
  • Phone: 714-774-1450
  • Fax:
Mailing address:
  • Phone: 925-768-9560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number2011-00890
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number21632
License Number StateWV
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA92005
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD424686
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: