Healthcare Provider Details

I. General information

NPI: 1215863089
Provider Name (Legal Business Name): CHRISMAN LAU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 EAST ST
CONCORD CA
94520-1960
US

IV. Provider business mailing address

2540 EAST ST
CONCORD CA
94520-1960
US

V. Phone/Fax

Practice location:
  • Phone: 925-674-2253
  • Fax:
Mailing address:
  • Phone: 925-674-2253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247100000X
TaxonomyRadiologic Technologist
License Number82902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: