Healthcare Provider Details

I. General information

NPI: 1740227040
Provider Name (Legal Business Name): SEN BIN LAI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1974 SANTA FE AVE
LONG BEACH CA
90810-4064
US

IV. Provider business mailing address

2690 PACIFIC AVE SUITE 290
LONG BEACH CA
90806-2657
US

V. Phone/Fax

Practice location:
  • Phone: 562-595-9799
  • Fax: 562-595-8884
Mailing address:
  • Phone: 562-595-9799
  • Fax: 562-595-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA32145
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA32145
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: