Healthcare Provider Details

I. General information

NPI: 1750763439
Provider Name (Legal Business Name): ISABELLA LAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10780 SANTA MONICA BLVD STE 350
LOS ANGELES CA
90025-4779
US

IV. Provider business mailing address

10780 SANTA MONICA BLVD STE 350
LOS ANGELES CA
90025-4779
US

V. Phone/Fax

Practice location:
  • Phone: 424-274-1550
  • Fax: 920-352-4156
Mailing address:
  • Phone: 424-274-1550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0404X
TaxonomyCardiac Rehabilitation Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA149405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: