Healthcare Provider Details

I. General information

NPI: 1659520302
Provider Name (Legal Business Name): YOUNG K. LAI, M.D., MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43860 10TH ST W STE 204
LANCASTER CA
93534-4806
US

IV. Provider business mailing address

43860 10TH ST W STE 204
LANCASTER CA
93534-4806
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-1685
  • Fax: 661-948-7041
Mailing address:
  • Phone: 661-948-1685
  • Fax: 661-948-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. YOUNG K. LAI
Title or Position: OWNER/OPERATOR
Credential: M.D.
Phone: 661-948-1685